Individual
AIMEE Y MIYAZAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
20501 EARL ST. STE. 3, TORRANCE, CA 90503
(310) 975-3930
Mailing address
20501 EARL ST. STE. 3, TORRANCE, CA 90503
(310) 975-3930
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00500
KS
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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