Individual
MEGAN NAKAMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17711 NE 101ST CT, REDMOND, WA 98052-3290
(425) 281-6376
Mailing address
17711 NE 101ST CT, REDMOND, WA 98052-3290
(425) 281-6376
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
61317145
WA
Other
Enumeration date
04/07/2022
Last updated
11/02/2022
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