Individual
MIKA I YAMASHITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2817 REILLY ST, WAMC STOP A, FORT BRAGG, NC 28310-7324
(910) 907-8922
(910) 907-6069
Mailing address
2817 REILLY ST, WAMC STOP A, FORT BRAGG, NC 28310-7324
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
335791
NY
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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