EMMA NICOLE SELF

KENOSHA, WI
NPI1558995407
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  2000051930)
Enumeration Date2020-03-01
Last Update Date2022-06-23
Business Address
EMMA NICOLE SELF ATC
2001 ALFORD PARK DR
KENOSHA, WI 53140-1994
Phone number: 224-330-8871
Mailing Address
EMMA NICOLE SELF ATC
401 CHECKER DR
BUFFALO GROVE, IL 60089-1643
Phone number: 224-308-8871
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