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Mason Taro Matsubara
Student in an Organized Health Care Education/Training Program in San Bernardino, California
NPI 1538854088

Mason Taro Matsubara is a Student in an Organized Health Care Education/Training Program based in San Bernardino, CA. Mason Taro Matsubara practices in San Bernardino, CA. The NPI Number for Mason Taro Matsubara is 1538854088 and holds a License No. (California).

The current practice location address for Mason Taro Matsubara is 2101 N Waterman Ave, San Bernardino, CA and can be reached out via phone at 909-883-8711.

Location: 2101 N Waterman Ave, San Bernardino, CA, 92404-4836
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538854088
Provider Name
Mason Taro Matsubara
Credential
Provider Entity Type
Individual
Gender
Male
Address
2101 N Waterman Ave, San Bernardino, CA, 92404-4836
Phone Number
909-883-8711
Fax Number
Provider Enumeration Date
04/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2101 N Waterman Ave
City
San Bernardino
State
California
Zip
92404-4836
Phone Number
909-883-8711
Fax Number
person
Provider Business Mailing Address Details
Address
2101 N Waterman Ave
City
San Bernardino
State
California
Zip
92404-4836
Phone Number
909-883-8711
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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