Individual
DR. NICOLE MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, CSCS
Contact information
Practice address
8432 MAGNOLIA AVE, HEALTH SCIENCE CAMPUS F83, RIVERSIDE, CA 92504-3206
(951) 343-4379
Mailing address
8432 MAGNOLIA AVE, HEALTH SCIENCE CAMPUS F83, RIVERSIDE, CA 92504-3206
(951) 343-4379
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/14/2016
Last updated
02/02/2021
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