Individual
KATIE MIKA YAMAGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4420 GONDAR AVE, LAKEWOOD, CA 90713-2916
(562) 429-3976
Mailing address
4420 GONDAR AVE, LAKEWOOD, CA 90713-2916
(562) 429-3976
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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