Individual
ALICIA YAMAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6230 S DECATUR BLVD STE 140, LAS VEGAS, NV 89118-4368
(702) 448-3360
Mailing address
4117 SCARLET COB AVE, LAS VEGAS, NV 89141-9141
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506647
NV
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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