Individual
HARRIET ICHIYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
539 N VAN NESS AVE, FRESNO, CA 93728-3419
(559) 266-9581
(559) 498-0507
Mailing address
539 N VAN NESS AVE, FRESNO, CA 93728-3419
(559) 266-9581
(559) 498-0507
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
NP7287
CA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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