Individual
MISAO TANIOKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
1500 S ANAHEIM BLVD STE 200, ANAHEIM, CA 92805-6267
(714) 290-7205
Mailing address
1500 S ANAHEIM BLVD STE 200, ANAHEIM, CA 92805-6267
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/03/2015
Last updated
10/03/2015
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