Individual
ALEXANDRA NICOLE THOMASEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
631 S COLLEGE AVE, NEWARK, DE 19716-2010
(302) 831-4016
Mailing address
12 PROSPECT AVE, NEWARK, DE 19711-2262
(302) 416-2851
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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