Nicole Vandzura
NPI #1003486895 in Loris, South Carolina
Provider Information
- NPI Number
- 1003486895
- Entity Type
- Individual
- Name
- Nicole Vandzura
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Jun 25, 2021
- Last Updated
- Jun 25, 2021
Practice Location
- Address
- 4751 ANSEL LN
- City
- Loris
- State
- South Carolina
- ZIP Code
- 29569-6427
- Phone
- (732) 609-0775
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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