KEISUKE MIZUNO

SOUTH PASADENA, CA
NPI1821786674
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies163W00000X Registered Nurse
(Licence: CA  RN95468505)
Enumeration Date2023-04-28
Last Update Date2026-08-06
Business Address
KEISUKE MIZUNO BSN, RN
99 PASADENA AVE STE 10C
SOUTH PASADENA, CA 91030-6142
Phone number: 619-275-4525
Mailing Address
KEISUKE MIZUNO BSN, RN
99 PASADENA AVE STE 10C
SOUTH PASADENA, CA 91030-6142
Phone number: