Individual
NICOLE E. OGNIBENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
286 S POPLAR AVE, APT 7, BREA, CA 92821-5585
(714) 309-5129
Mailing address
286 S POPLAR AVE, APT 7, BREA, CA 92821-5585
(714) 309-5129
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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