Individual
DAISUKE SHIBATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO # 42610, ALBUQUERQUE, NM 87131-0001
(412) 983-3888
Mailing address
1 UNIVERSITY OF NEW MEXICO # 42610, ALBUQUERQUE, NM 87131-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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