Individual
MAIKO SHIGEEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
601 WHITNEY RANCH DR, SUITE B6, HENDERSON, NV 89014-2642
(702) 454-1162
Mailing address
6608 BURIED TREASURE CT, LAS VEGAS, NV 89139-6134
(507) 351-1067
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506172
NV
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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