Individual
NICHOLAS CECCARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8432 MAGNOLIA AVE, RIVERSIDE, CA 92504-3206
(877) 228-3615
Mailing address
10151 ARROW RTE UNIT 102, RANCHO CUCAMONGA, CA 91730-7048
(951) 217-9523
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000023966
CA
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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