Individual
MISS NICOLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9321 8TH AVENUE, PLEASANT PRAIRIE, WI 53158
(262) 344-0856
Mailing address
9321 8TH AVE, PLEASANT PRAIRIE, WI 53158-4910
(262) 344-0856
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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