Individual
HOLLY ICHIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3117 SISTINE CHAPEL CIR, JONESBORO, AR 72404-7959
(614) 432-9803
Mailing address
3117 SISTINE CHAPEL CIR, JONESBORO, AR 72404-7959
(614) 432-9803
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
02/23/2024
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