Individual
RAIKI MIYAZATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 N BELLFLOWER BLVD, LONG BEACH, CA 90840-0004
(714) 785-6073
Mailing address
392 W SUMMERFIELD CIR, ANAHEIM, CA 92802-4775
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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