Individual
MR. FUMIYA NAKATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, ATC
Contact information
Practice address
445 E 3RD ST APT 301, LONG BEACH, CA 90802-3195
(562) 453-6492
Mailing address
445 E 3RD ST APT 301, LONG BEACH, CA 90802-3195
(562) 453-6492
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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