Reuben Randall Nelson
Registered Nurse, Addiction (Substance Use Disorder) in Loma Linda, CA. Individual provider (NPI-1).
NPI number1073370656
StatusActive
Last updated in NPPESFeb 29, 2024
Details
- NPI
- 1073370656
- Entity type
- Individual (NPI-1)
- Name
- Reuben Randall Nelson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 29, 2024
- Certification date
- Feb 29, 2024
- Last updated
- Feb 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WA0400X | Registered Nurse, Addiction (Substance Use Disorder) | 369324 | CA | Yes |
Practice location
11482 Loma Linda DrLoma Linda, CA 92354-3743
Phone 909-723-7877
Mailing address
3286 E Guasti Rd Ste 100Ontario, CA 91761-8646
Phone 909-476-2023
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