IndividualActive
Elaine Nelson, COSMETIC THERAPIST
NPI 1164053385 · Other Technician · Mentor, OH
Provider details
- NPI number
- 1164053385
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Credential
- COSMETIC THERAPIST
- Sex
- Female
- Sole proprietor
- No
- License
- 32.012312 (OH)
Practice location
Cosmetic Laser Inc
8353 Mentor Ave. Unit 7
Mentor, OH 44077
Phone: (440) 477-4074
Mailing address
5822 Woodhill St
Painesville, OH 44077-5167
Registry dates
- Enumerated
- 2020-01-27
- Last updated
- 2020-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.