Individual
NICOLE MADURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10720 BECLAN DR, RANCHO CORDOVA, CA 95670-4955
(916) 716-4760
Mailing address
10720 BECLAN DR, RANCHO CORDOVA, CA 95670-4955
(916) 716-4760
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/01/2018
Last updated
12/01/2018
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