NPI 1598043507
Leroy J Nickie
Practice location
- Address
- 7018 Wade Ave, Clinton, MD 20735-2741
- Phone
- (301) 877-7085
Registered specialties
Clinical Exercise Physiologist
Primary
Registry record
- NPI
- 1598043507
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Jul 2011
- Record last updated
- 6 Oct 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.