DEREK MIYAMOTO

LOS ANGELES, CA
NPI1295866317
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies225400000X Rehabilitation Practitioner
Enumeration Date2007-03-08
Last Update Date2024-08-12
Business Address
DEREK MIYAMOTO
333 S BEAUDRY AVE
LOS ANGELES, CA 90017-1466
Phone number: 213-241-3841
Mailing Address
DEREK MIYAMOTO
333 S BEAUDRY AVE
LOS ANGELES, CA 90017-1466
Phone number: 213-241-3841