Individual
MINA P SHIMOMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1524 S I 35, SUITE 300, AUSTIN, TX 78704
(512) 382-0222
Mailing address
1524 S I 35, SUITE 300, AUSTIN, TX 78704
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
779523
TX
Other
Enumeration date
04/02/2018
Last updated
04/25/2018
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