Joel Aaron Nickerson ATC

NPI 1073850764 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1073850764
Gender Male
Enumeration Date 01/15/2013
Last Updated 01/15/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
400 SPARTAN DR.
SALEM HIGH SCHOOL
SALEM VA, 24153, US
Phone (540) 387-2437
Fax
Business Location
400 SPARTAN DR.
SALEM HIGH SCHOOL
SALEM VA, 24153, US
Phone (540) 387-2437
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Virginia
License Number 0126000171
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According to our database, Mr. Joel Aaron Nickerson ATC NPI is 1073850764, taxonomy code is 2255A2300X and license number is 0126000171, license state is located at Virginia. Joel Aaron Nickerson ATC physically located at 400 Spartan Dr., Salem VA, 24153. NPI Number Joel Aaron Nickerson ATC has the Individual type.

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1073850764 NPI number is provided on an as is basis without warranty of any kind. 1073850764 is maintained by the National Plan & Provider Enumeration System. The contents of Joel Aaron Nickerson ATC are for informational purposes only.