MISS Nicole Jun Shimotake, ATC
NPI #1073035200 in Lafayette, California
Provider Information
- NPI Number
- 1073035200
- Entity Type
- Individual
- Name
- MISS Nicole Jun Shimotake, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jul 10, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1470 SUNSET LOOP
- City
- Lafayette
- State
- California
- ZIP Code
- 94549-6045
- Phone
- (925) 817-7404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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