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Jacquelynn Nelson
NPI 1629210935 · on the registry since 2009 · sole proprietor
Practice
- Address
- 3434 Grove Street
Lemon Grove, CA 91945 - Phone
- (406) 261-1068
- Organisation at this address
- Fidare Health Co
Fred Finch Youth Center
Coastal Recovery Concepts IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 65
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 251S00000X
- Sex
- Female
- Record last updated
- 2012-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California