Individual
NICOLE FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
909 ENGLEMERE BLVD, TOMS RIVER, NJ 08757-1114
(201) 889-0619
Mailing address
909 ENGLEMERE BLVD, TOMS RIVER, NJ 08757-1114
(201) 889-0619
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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