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Individual
MS. SHIZUKA ERIN SHISHIDO
Active
Individual
MS. SHIZUKA ERIN SHISHIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C, ATC,CSCS
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
PA21497
CA
Other
Enumeration date
06/27/2006
Last updated
07/11/2012
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