Individual
MIWAKO SUZUKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 SPRUCE ST, APT 48, TERRE HAUTE, IN 47807-2193
(336) 558-3081
Mailing address
1150 SPRUCE ST, APT 48, TERRE HAUTE, IN 47807-2193
(336) 558-3081
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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