DESTINY AUTUMN NELSON

PAHRUMP, NV
NPI1902177546
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2012-01-12
Last Update Date2012-01-12
Business Address
Ms. DESTINY AUTUMN NELSON
1410 BLACK ST
PAHRUMP, NV 89060-3911
Phone number: 702-366-4771
Mailing Address
Ms. DESTINY AUTUMN NELSON
1410 BLACK ST
PAHRUMP, NV 89060-3911
Phone number: 702-366-4771