Joseph Randal Nelson Valid NPI
Individual provider · Peer Specialist · Edmond, OK
- NPI
- 1265194351
- Type
- Individual (Type 1)
- Primary specialty
- Peer Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 175T00000X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2021-10-06
- Last updated
- 2022-02-22
Practice location
313 E Edwards St Apt B2
Edmond, OK 73034-4597
(405) 227-1325