Individual
MR. KAZUKI KUROSAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2905 N GRAND AVE, UNIT 416B, PULLMAN, WA 99163
(509) 339-3846
Mailing address
2905 N GRAND AVE, UNIT 416B, PULLMAN, WA 99163
(509) 339-3846
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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