Individual
NICOLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
404 JUNIPER DR, WEST MIFFLIN, PA 15122-1236
(412) 508-8160
Mailing address
404 JUNIPER DR, WEST MIFFLIN, PA 15122-1236
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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