CODY SHIMOTA

WINONA, MN
NPI1164963658
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2017-03-16
Last Update Date2017-03-16
Business Address
-- CODY SHIMOTA
229 E 3RD ST
WINONA, MN 55987-6576
Phone number: 612-876-1615
Mailing Address
-- CODY SHIMOTA
229 E 3RD ST
WINONA, MN 55987-6576
Phone number: 612-876-1615