Individual
MS. LODIE IKEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 AVENIDA DOLORES B, SAN CLEMENTE, CA 92672
(949) 546-5520
Mailing address
119 AVENIDA DOLORES B, SAN CLEMENTE, CA 92672
(949) 546-5520
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
8999
CA
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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