Individual
MEGUMI FURUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 CAMPUS VIEW RD APT 8, MANKATO, MN 56001-6336
(818) 424-4042
Mailing address
140 CAMPUS VIEW RD APT 8, MANKATO, MN 56001-6336
(818) 424-4042
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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