Individual
MR. BENJAMIN HIRABAYASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
6510 HINSON ST, LAS VEGAS, NV 89118-4413
(702) 300-4255
Mailing address
9533 BORGATA BAY BLVD, LAS VEGAS, NV 89147-8011
(702) 300-4255
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506273
NV
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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