MS. Destiny Autumn Nelson

NPI #1902177546 in Pahrump, Nevada

Provider Information

NPI Number
1902177546
Entity Type
Individual
Name
MS. Destiny Autumn Nelson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Rehabilitation Practitioner
Enumeration Date
Jan 12, 2012
Last Updated
Jan 12, 2012

Practice Location

Address
1410 BLACK ST
State
Nevada
ZIP Code
89060-3911
Phone
(702) 366-4771

Specialties & Taxonomy Codes

Specialty
Rehabilitation Practitioner

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