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Individual

ALAINA KATHERINE NICHOLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, ATC

Contact information

Practice address
5500 CAMPANILE DR, SAN DIEGO, CA 92182-0001
(661) 645-6050
Mailing address
4018 ALABAMA ST # 9, SAN DIEGO, CA 92104-6077
(661) 645-6050

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/07/2019
Last updated
07/03/2023
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