MATTHEW GENE NELSON

HUBERT, NC
NPI1376986075
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2013-04-11
Last Update Date2013-04-11
Business Address
-- MATTHEW GENE NELSON IDC
212 WINTERGREEN LN
HUBERT, NC 28539-4659
Phone number: 910-884-6996
Mailing Address
-- MATTHEW GENE NELSON IDC
212 WINTERGREEN LN
HUBERT, NC 28539-4659
Phone number: 910-884-6996