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Search › California › 101YA0400X

Russell Nelson

NPI 1124298732 · on the registry since 2008 · sole proprietor

Practice

Address
2180 Johnson Ave
San Luis Obispo, CA 93401
Phone
(805) 788-2524
Fax
(805) 788-2056
Organisation at this address
Good Samaritan Shelter
County Of San Luis Obispo
County Of San Luis Obispo
San Luis Obispo Campus Health
Crestwood Behavioral Health, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
181

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Male
Record last updated
2013-10-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California