CHIE KOIZUMI

FARMVILLE, VA
NPI1144672429
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA  0126002554)
Enumeration Date2016-07-11
Last Update Date2016-07-11
Business Address
-- CHIE KOIZUMI
201 HIGH ST
FARMVILLE, VA 23909-1800
Phone number: 434-395-2965
Mailing Address
-- CHIE KOIZUMI
201 HIGH ST
FARMVILLE, VA 23909-1800
Phone number: 434-395-2965