KEITA SHIMADA

BOISE, ID
NPI1386053213
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: ID  AT-334)
Enumeration Date2014-08-05
Last Update Date2014-08-05
Business Address
Mr. KEITA SHIMADA MK, LAT, ATC
1910 UNIVERSITY DR # MS 1020
BOISE, ID 83725-0001
Phone number: 208-407-6526
Mailing Address
Mr. KEITA SHIMADA MK, LAT, ATC
1910 UNIVERSITY DR # MS 1020
BOISE, ID 83725-0001
Phone number:
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