Individual
GRANT YAMASHITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
17040 SPINNING AVE, TORRANCE, CA 90504-2846
(559) 367-4006
Mailing address
8087 N ROWELL AVE, FRESNO, CA 93720-2323
(559) 367-4006
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2019
Last updated
09/13/2021
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