Individual
RYOTA NAKAGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1512 KEMPER ST, SCOOBA, MS 39358-7601
(304) 905-5234
Mailing address
1512 KEMPER ST, SCOOBA, MS 39358-7601
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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