Individual provider · Type 1 NPI

Issei Miyaguchi

Student in an Organized Health Care Education/Training Program · Conway, AR

NPI number 1306351069 Active

Practice location

2201 Moix Blvd Apt 615
Conway, AR 72034-6975

Call (501) 269-9614 Map

Mailing address

2201 Moix Blvd Apt. 615
Conway, AR 72034

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1306351069

Issei Miyaguchi's National Provider Identifier is 1306351069, issued on Dec 4, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Conway, AR. The record was last updated on Dec 4, 2017.