Individual
MS. NICOLE LORRAINE SANFORD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC, CSCS
Contact information
Practice address
2345 MAIN ST, GLASTONBURY, CT 06033-2211
(315) 764-4917
(315) 764-4404
Mailing address
158 HIGHLAND RD, APT 33, MASSENA, NY 13662-4211
(315) 769-2808
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/21/2006
Last updated
07/08/2007
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