Individual
JOSHUA ICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11800 NE 128TH ST STE 200, KIRKLAND, WA 98034-7211
(206) 591-7245
Mailing address
5517 113TH PL NE APT 73, KIRKLAND, WA 98033-7548
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
61297157
WA
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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