MYIAH NICOLE DOMER

SAN DIEGO, CA
NPI1043830441
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2020-04-26
Last Update Date2021-11-03
Business Address
MYIAH NICOLE DOMER ATC
5500 CAMPANILE DR
SAN DIEGO, CA 92182-2004
Phone number: 619-594-5551
Mailing Address
MYIAH NICOLE DOMER ATC
3899 NOBEL DR APT 1113
SAN DIEGO, CA 92122-5758
Phone number: 614-969-9123