Individual
SHINYA SAKURAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
200 ROBBIE LN APT 202, SAN MARCOS, TX 78666-6537
(949) 677-6254
Mailing address
200 ROBBIE LN APT 202, SAN MARCOS, TX 78666-6537
(949) 677-6254
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000021063
—
2255A2300X
Athletic Trainer
AT6305
TX
Other
Enumeration date
12/31/2016
Last updated
12/31/2016
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