person
Trek Mikio Nohea Mizoguchi
Student in an Organized Health Care Education/Training Program in Oakland, California
NPI 1366137242

Trek Mikio Nohea Mizoguchi is a Student in an Organized Health Care Education/Training Program based in Oakland, CA. Trek Mikio Nohea Mizoguchi practices in Oakland, CA. The NPI Number for Trek Mikio Nohea Mizoguchi is 1366137242 and holds a License No. (California).

The current practice location address for Trek Mikio Nohea Mizoguchi is 747 52Nd St Ste 245, Oakland, CA and can be reached out via phone at 510-428-3331.

Location: 747 52Nd St Ste 245, Oakland, CA, 94609-1809
person
Provider Profile Details
NPI Number
1366137242
Provider Name
Trek Mikio Nohea Mizoguchi
Credential
Provider Entity Type
Individual
Gender
Male
Address
747 52Nd St Ste 245, Oakland, CA, 94609-1809
Phone Number
510-428-3331
Fax Number
Provider Enumeration Date
04/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
747 52Nd St Ste 245
City
State
Zip
94609-1809
Phone Number
510-428-3331
Fax Number
person
Provider Business Mailing Address Details
Address
747 52Nd St Ste 245
City
State
Zip
94609-1809
Phone Number
510-428-3331
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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