Individual
TETSUO YAMANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, PES
Contact information
Practice address
4600 TRINITY RD, RALEIGH, NC 27607-3924
(919) 513-7536
Mailing address
3205 QUIET MILL RD, APT. A3, RALEIGH, NC 27612-4305
(205) 239-6180
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2285
NC
Other
Enumeration date
05/14/2012
Last updated
01/09/2014
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