Individual
NICOLE HOWELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-4021
Mailing address
118 CLARK ST, CLARKS GREEN, PA 18411-1214
(570) 614-8252
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/30/2019
Last updated
07/22/2022
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