Individual
MISS NICOLE MARIE KLOPOTEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST-CERT SURG TECH
Contact information
Practice address
8681 A C SKINNER PKWY APT 634, JACKSONVILLE, FL 32256-0846
(904) 522-4144
Mailing address
8681 A C SKINNER PKWY APT 634, JACKSONVILLE, FL 32256-0846
(904) 522-4144
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
148606
FL
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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