GREGORY CLIFFORD NELSON

TRAVIS AFB, CA
NPI1396142311
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  1121110)
Enumeration Date2014-11-20
Last Update Date2014-11-20
Business Address
GREGORY CLIFFORD NELSON P.A.
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-7611
Mailing Address
GREGORY CLIFFORD NELSON P.A.
2713 MANZANO
MISSION VIEJO, CA 92692
Phone number: 949-412-7695