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Individual

MINAKO TSUKAHARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
2526 10TH AVE, HONOLULU, HI 96816-3031
(808) 733-8465
(808) 733-8467
Mailing address
2526 10TH AVE, HONOLULU, HI 96816-3031
(808) 733-8465
(808) 733-8467

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT - 36
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
120002042
NATIONAL ATHLETIC TRAINERS ASSOCIATION
01
AT - 36
ATHLETIC TRAINER
HI
Enumeration date
07/25/2016
Last updated
07/25/2016
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