Individual
IRIANNE NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1201 SOUTH CLEARVIEW PARKWAY, JEFFERSON, LA 70121
(504) 715-3743
Mailing address
750 BELLEMEADE BLVD, GRETNA, LA 70056
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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