Nicholas Scott Deshane, ATC, CSCS
NPI #1841513694 in Camp Pendleton, California
Provider Information
- NPI Number
- 1841513694
- Entity Type
- Individual
- Name
- Nicholas Scott Deshane, ATC, CSCS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, CSCS
- Enumeration Date
- Mar 9, 2010
- Last Updated
- Mar 9, 2010
Practice Location
- Address
- 520420. ATTN SMART CLINIC
- Address 2
- SOI WEST, CAMP PENDLETON
- City
- Camp Pendleton
- State
- California
- ZIP Code
- 92055
- Phone
- (760) 725-7029
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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