Individual
YUICHI TAKIZAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2212 LACARI DR., FOX CREEK APT #A1, MAGNOLIA, AR 71753
(870) 562-1839
Mailing address
2212 LACARI, FOX CREEK APT #A1, MAGNOLIA, AR 71753-2176
(870) 562-1839
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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