| NPI | 1699177923 |
|---|---|
| Other Name | ZACHARY HARMON MISHOE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC LAT-2540) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |