Individual
MR. YASUSHI NOMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
WASHINGTON STATE UNIVERSITY, BOHER GYM M4, PULLMAN, WA 99164-1602
(509) 335-3294
(509) 335-4729
Mailing address
204 NW CLAY CT, PULLMAN, WA 99163
(509) 332-7372
(509) 335-4729
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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