Individual
NICHOLAS MICHAEL MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 N FAIRVIEW ST, LOCK HAVEN, PA 17745-2390
(570) 484-2011
Mailing address
53 BRICK HOUSE RD, WARREN CENTER, PA 18851-7750
(570) 637-1616
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/06/2023
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