Individual
JAN IKEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 HAWAII KAI DR, UNIT 2815, HONOLULU, HI 96825-4189
(831) 521-2412
Mailing address
7000 HAWAII KAI DR, UNIT 2815, HONOLULU, HI 96825-4189
(831) 521-2412
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
830930
TX
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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