Individual
MISS DARIA MARIE NOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, ATC, LAT
Contact information
Practice address
44 LEWIS RD, TRUMBULL, CT 06611-2535
(203) 452-1208
Mailing address
44 LEWIS RD, TRUMBULL, CT 06611-2535
(203) 452-1208
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000434
CT
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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