Individual
DAISUKE MONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1225 COTTONWOOD ST APT 13, EMPORIA, KS 66801-5296
(620) 487-4820
Mailing address
1225 COTTONWOOD ST APT 13, EMPORIA, KS 66801-5296
(620) 487-4820
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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