Individual
MIZUHO MORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4165 CHATWIN AVE, LAKEWOOD, CA 90713-3005
(909) 929-5703
Mailing address
4165 CHATWIN AVE, LAKEWOOD, CA 90713-3005
(909) 929-5703
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000058452
CA
Other
Enumeration date
06/28/2025
Last updated
06/28/2025
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