Individual
KENTO ANJIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 E MCCONNELL DR APT 4305A, FLAGSTAFF, AZ 86001-6554
(562) 277-0763
Mailing address
305 E MCCONNELL DR APT 4305A, FLAGSTAFF, AZ 86001-6554
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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