TAD NICKERSON

VIRGINIA BEACH, VA
NPI1336498369
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA  0126000247)
Enumeration Date2012-09-06
Last Update Date2012-09-06
Business Address
Mr. TAD NICKERSON ATC
1096 OAKTON MEWS
VIRGINIA BEACH, VA 23464-5355
Phone number: 757-581-8112
Mailing Address
Mr. TAD NICKERSON ATC
1096 OAKTON MEWS
VIRGINIA BEACH, VA 23464-5355
Phone number: 757-581-8112
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