FREDERICK NELSON

PHOENIX, AZ
NPI1467764837
Professional NameRICK NELSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: AZ  MT-00194P)
Enumeration Date2010-07-13
Last Update Date2010-07-13
Business Address
Mr. FREDERICK NELSON
4113 N 7TH AVE
PHOENIX, AZ 85013-3071
Phone number: 602-631-9698
Mailing Address
Mr. FREDERICK NELSON
5953 W AURORA DR
GLENDALE, AZ 85308-6357
Phone number: 623-670-4316