Individual
NICOLE NATSUMI NOOTBAAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
538 ARENA ST, EL SEGUNDO, CA 90245-3016
(310) 357-4586
Mailing address
538 ARENA ST, EL SEGUNDO, CA 90245-3016
(310) 357-4586
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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