BRENT FUKUSHIMA

SPOKANE, WA
NPI1881459295
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-02-15
Last Update Date2024-02-15
Business Address
BRENT FUKUSHIMA SRNA
101 W 8TH AVE
SPOKANE, WA 99204-2307
Phone number: 509-474-3131
Mailing Address
BRENT FUKUSHIMA SRNA
3640 S SEPULVEDA BLVD APT 216
LOS ANGELES, CA 90034-6848
Phone number: 808-258-1401
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