Individual
NICHOLAS ESTEVAN BRAMBILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
900 W KIMBERLY RD, DAVENPORT, IA 52806-5707
(563) 362-0023
Mailing address
1304 6TH ST, HAMPTON, IL 61256-9629
(559) 755-4996
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096.005763
IL
2255A2300X
Athletic Trainer
Primary
122345
IA
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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