Individual
NICOLE CONIGLIARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, AT, ATC
Contact information
Practice address
4025 VIOLET AVE, SAINT CLAIR, MI 48079-3532
(810) 434-7914
Mailing address
4025 VIOLET AVE, SAINT CLAIR, MI 48079-3532
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002366
MI
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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