Individual
KEI UTSUMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
379 FIELD HOUSE DR, COLLEGE PARK, MD 20742-0001
(240) 508-3530
Mailing address
6411 KENILWORTH AVE, RIVERDALE, MD 20737-1211
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/12/2012
Last updated
08/12/2012
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