Individual
NICOLE WHITE-MADOLORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5998 ALCALA PARK, SAN DIEGO, CA 92110-8001
(619) 260-4600
Mailing address
9773 SUN KOSI WAY, ELK GROVE, CA 95757-8124
(916) 213-9294
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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