MISS Nicole Elizabeth Fallon, MS, LAT, ATC

NPI #1275289365 in Newark, New Jersey

Provider Information

NPI Number
1275289365
Entity Type
Individual
Name
MISS Nicole Elizabeth Fallon, MS, LAT, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MS, LAT, ATC
Enumeration Date
Feb 27, 2022
Last Updated
Jul 14, 2023

Practice Location

Address
238 VAN BUREN ST
City
Newark
ZIP Code
07105-2512
Phone
(732) 640-3206

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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