Individual
MS. NICOLE SPRUILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4300 PORTSMOUTH BLVD, SUITE 220, CHESAPEAKE, VA 23321-2137
(757) 465-7651
Mailing address
4300 PORTSMOUTH BLVD, SUITE 220, CHESAPEAKE, VA 23321-2137
(757) 465-7651
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001098
VA
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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