BRIAN GEORGE NELSON

SAN DIEGO, CA
NPI1013546548
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2020-04-06
Last Update Date2020-04-06
Business Address
BRIAN GEORGE NELSON IDC
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 760-419-0943
Mailing Address
BRIAN GEORGE NELSON IDC
1140 AMADOR AVE
VISTA, CA 92083-5620
Phone number: 760-419-0943
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