Individual
TSUKINOSUKE MIYAWAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 S 5TH ST UNIT 901, AMES, IA 50010-3108
(209) 877-3252
Mailing address
205 S 5TH ST UNIT 901, AMES, IA 50010-3108
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/18/2021
Last updated
09/18/2021
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