Individual
GRANT MANABU HANJIN SHINAGAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 S COUNTRY CLUB DR APT 1052, MESA, AZ 85210-3548
(607) 280-8654
Mailing address
901 S COUNTRY CLUB DR APT 1052, MESA, AZ 85210-3548
(607) 280-8654
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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