Nelson, Destiny Autumn

Nelson, Destiny Autumn is an sole proprietor health care provider with primary practice located at 1410 Black St , Pahrump NV 89060-3911. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Nelson, Destiny Autumn can be contacted via phone (702) 366-4771.

Contact Information

Primary practice address
1410 Black St Pahrump NV 89060-3911
Phone: (702) 366-4771
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1902177546
LBN Legal business name Nelson, Destiny Autumn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2012
Last updated Jan 12th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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