Individual
TRINA GABRIELA CICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MORROW WAY, SLIPPERY ROCK, PA 16057-1313
(724) 640-9215
Mailing address
1 MORROW WAY, SLIPPERY ROCK, PA 16057-1313
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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