NPI 1164053385

Elaine Marie Nelson, COSMETICTHERAPIST

Practitioner Other Technician Mentor, OH

Practice location

Address: Cosmetic Laser INC 8353 Mentor Ave. Unit 7, Mentor, OH 44077
Phone: (440) 477-4074
Mailing address: 5822 Woodhill St, Painesville, OH 44077-5167

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 32.012312 (OH)

Other Technician, Other providers in Ohio →

Registry record

NPI: 1164053385
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jan 2020
Record last updated: 27 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.