Individual
SASHA KOHANA-YAMADA BRONIOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 SAINT FRANCIS AVE, SHAKOPEE, MN 55379-5582
(952) 831-8742
Mailing address
PO BOX 1872, PEARL CITY, HI 96782-8872
(808) 687-1858
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3833
MN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/26/2023
Last updated
01/20/2025
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