Individual
NICOLETTE JAHN MARINELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 UNIVERSITY DR, ORANGE, CA 92866-1005
(949) 861-1322
Mailing address
26410 BLACK OAK DR, VALENCIA, CA 91381-0733
(661) 993-3244
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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