Individual
IKUKO THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3853 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-8200
Mailing address
3853 ROSECRANS ST, SAN DIEGO, CA 92110-3115
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
828167
CA
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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