Individual
NICOLA SALOMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
9551 SIJAN AVE, JBER, AK 99506-4300
(907) 552-6497
Mailing address
9551 SIJAN AVE, JBER, AK 99506-4300
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
188481
AK
2255A2300X
Athletic Trainer
3021
MA
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/25/2017
Last updated
02/24/2022
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