Individual
NICOLE ARIMBOANGA BRISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10510 MARAUDER WAY, SAN DIEGO, CA 92126-3275
(408) 646-5820
Mailing address
3282 BERGER AVE UNIT G6, SAN DIEGO, CA 92123-1929
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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