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Jeremy Nelson

In Home Supportive Care in Gilbert, AZ. Individual provider (NPI-1).

NPI number1003663527
StatusActive
Last updated in NPPESMay 2, 2024

Details

NPI
1003663527
Entity type
Individual (NPI-1)
Name
Jeremy Nelson
Sex
Male
Sole proprietor
Yes
Enumeration date
May 2, 2024
Certification date
May 2, 2024
Last updated
May 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

2131 E New Bedford Dr
Gilbert, AZ 85234-3865

Phone 480-944-4948

Mailing address

2131 E New Bedford Dr
Gilbert, AZ 85234-3865

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