STEVIE TAKATA

CLOVIS, CA
NPI1770331290
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: HI  AT-330)
Enumeration Date2024-05-09
Last Update Date2024-05-09
Business Address
STEVIE TAKATA
1560 N MINNEWAWA AVE
CLOVIS, CA 93619-7698
Phone number: 559-327-3279
Mailing Address
STEVIE TAKATA
3330 HERMOSA AVE
CLOVIS, CA 93619-7284
Phone number: 808-345-4602
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