Individual
NICOLE ENCARNACION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6311 LUDWELL LN, SUMMERVILLE, SC 29486-8127
(646) 542-9816
Mailing address
6311 LUDWELL LN, SUMMERVILLE, SC 29486-8127
(646) 542-9816
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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