Individual
SKYLAR MARIE NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8424 N NEVADA ST APT 133, SPOKANE, WA 99208-7340
(562) 338-5762
Mailing address
8424 N NEVADA ST APT 133, SPOKANE, WA 99208-7340
(562) 338-5762
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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