Individual
NICHOLE LAFORTUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
17556 CARRINGTON GLEN LANE, ROCKVILLE, VA 23146-1650
(804) 381-9767
Mailing address
17556 CARRINGTON GLEN LANE, ROCKVILLE, VA 23146-1650
(804) 381-9767
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002827
GA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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