Individual
MS. SAKURA KONNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
478 HARDING AVE APT 24, MORGANTOWN, WV 26505-3449
(209) 769-9691
Mailing address
478 HARDING AVE APT 24, MORGANTOWN, WV 26505-3449
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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