Individual
MS. HARUYO IZUMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.C.
Contact information
Practice address
518 W LOCUST ST, DAVENPORT, IA 52803-2829
(563) 333-6061
(563) 333-6239
Mailing address
3810 BRIDGE AVE, APT 311, DAVENPORT, IA 52807-1875
(563) 468-1259
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000687
IA
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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