Most Relevant Information
Provider Data
| NPI Number: | 1003052762 |
| Provider Name: | PATRICIA R NELSON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/31/2008 |
| Last Updated: | 08/11/2014 |
Provider Practice Location
1430 NEOTOMAS AVE
SANTA ROSA
CA
954057575
Practice Location Phone/Fax
| Phone: | 7075656971 |
| Fax: |
Provider Mailing Location
1430 NEOTOMAS AVE
SANTA ROSA
CA
954057575
Provider Mailing Phone/Fax
| Phone: | 7075656971 |
| Fax: |