Individual
NOBUYUKI SHIRAISHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NMT MT-BC LCAT
Contact information
Practice address
400 W FOREST AVE APT 114, COALINGA, CA 93210-2566
(979) 665-7420
Mailing address
PO BOX 471, COALINGA, CA 93210-0471
(559) 935-3186
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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