MR. William Aage Nelson
NPI #1699933085 in St Petersburg, Florida
Provider Information
- NPI Number
- 1699933085
- Entity Type
- Individual
- Name
- MR. William Aage Nelson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Jun 2, 2008
- Last Updated
- Jun 2, 2008
Practice Location
- Address
- 714 JACKSON ST N
- City
- St Petersburg
- State
- Florida
- ZIP Code
- 33705-1337
- Phone
- (727) 895-4663
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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