Individual
EKA MATSUMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4348 ELECTRIC RD, ROANOKE, VA 24018-0720
(540) 776-0213
Mailing address
3345 CIRCLE BROOK DR, ROANOKE, VA 24018-9445
(540) 240-7037
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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