Individual
CHIKARA HIRAOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1104 7TH AVE S, MOORHEAD, MN 56563-0001
(218) 477-2626
Mailing address
1104 7TH AVE S, MOORHEAD, MN 56563-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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