Individual
NICOLE YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
631 S COLLEGE AVE, NEWARK, DE 19716-2010
(904) 463-0307
Mailing address
631 S COLLEGE AVE, NEWARK, DE 19716-2010
(904) 463-0307
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J3-0000496
DE
Other
Enumeration date
01/19/2010
Last updated
07/23/2021
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