Individual
NICOLAS TALENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
56720 MURRAY ST, MATTAWAN, MI 49071-8902
(269) 668-3361
Mailing address
736 S DRAKE RD APT R9, KALAMAZOO, MI 49009-1361
(906) 440-9606
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MI
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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