Individual
MIE SHIRAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
304 CHERRY AVE, LONG BEACH, CA 90802-3848
(562) 433-0478
Mailing address
304 CHERRY AVE, LONG BEACH, CA 90802-3848
(562) 433-0478
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E 4826
CA
Other
Enumeration date
04/16/2009
Last updated
04/28/2010
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