Individual
AIDAN LI MIYAGISHIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
338 S OCOTILLO DR, SACATON, AZ 85147
(520) 562-7400
Mailing address
18802 E VIA DEL ORO, QUEEN CREEK, AZ 85142-4063
(480) 358-4875
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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