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Alaina Katherine Nicholas, MS,ATC
Military Health Care Provider in San Diego, California
NPI 1336604990

Alaina Katherine Nicholas is a Military Health Care Provider based in San Diego, CA. Alaina Katherine Nicholas practices in San Diego, CA and has the professional credentials of MS,ATC. The NPI Number for Alaina Katherine Nicholas is 1336604990 and holds a License No. (California).

The current practice location address for Alaina Katherine Nicholas is 5500 Campanile Dr, San Diego, CA and can be reached out via phone at 661-645-6050.

Location: 5500 Campanile Dr, San Diego, CA, 92104-6077
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336604990
Provider Name
Alaina Katherine Nicholas
Credential
MS,ATC
Provider Entity Type
Individual
Gender
Female
Address
5500 Campanile Dr, San Diego, CA, 92104-6077
Phone Number
661-645-6050
Fax Number
Provider Enumeration Date
02/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5500 Campanile Dr
City
San Diego
State
California
Zip
92182-0001
Phone Number
661-645-6050
Fax Number
person
Provider Business Mailing Address Details
Address
5500 Campanile Dr
City
San Diego
State
California
Zip
92182-0001
Phone Number
661-645-6050
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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