LEROY J NICKIE

CLINTON, MD
NPI1598043507
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Y00000X Clinical Exercise Physiologist
Enumeration Date2011-07-25
Last Update Date2011-10-06
Business Address
Mr. LEROY J NICKIE
7018 WADE AVE
CLINTON, MD 20735-2741
Phone number: 301-877-7085
Mailing Address
Mr. LEROY J NICKIE
7018 WADE AVE
CLINTON, MD 20735-2741
Phone number: 301-877-7085