Individual
NICOLE JANINE SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, ATC
Contact information
Practice address
2400 E LAKE AVE, WATSONVILLE, CA 95076-1427
(831) 706-5297
Mailing address
1830 VIA PACIFICA, APTOS, CA 95003-5870
(831) 706-5297
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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