person
Ryunosuke Hisatomi
Student in an Organized Health Care Education/Training Program in Shreveport, Louisiana
NPI 1316628217

Ryunosuke Hisatomi is a Student in an Organized Health Care Education/Training Program based in Shreveport, LA. Ryunosuke Hisatomi practices in Shreveport, LA. The NPI Number for Ryunosuke Hisatomi is 1316628217 and holds a License No. (Louisiana).

The current practice location address for Ryunosuke Hisatomi is 1501 Kings Hwy, Shreveport, LA and can be reached out via phone at 318-626-4092. You can also correspond with Ryunosuke Hisatomi through the mailing address at 1501 KINGS HWY, SHREVEPORT, LA - 71103-4228 (mailing address contact number: ).

Location: 1501 Kings Hwy, Shreveport, LA, 71103-4228
person
Provider Profile Details
NPI Number
1316628217
Provider Name
Ryunosuke Hisatomi
Credential
Provider Entity Type
Individual
Gender
Male
Address
1501 Kings Hwy, Shreveport, LA, 71103-4228
Phone Number
318-626-4092
Fax Number
Provider Enumeration Date
07/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1501 Kings Hwy
City
State
Zip
71103-4228
Phone Number
318-626-4092
Fax Number
person
Provider Business Mailing Address Details
Address
1501 Kings Hwy
City
State
Zip
71103-4228
Phone Number
318-626-4092
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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