Individual
SHO ISHIKURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
221 RIVER ST STE 9, HOBOKEN, NJ 07030-5990
(973) 850-9104
Mailing address
748 NEW DURHAM RD, EDISON, NJ 08817-2836
(929) 382-2005
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00732800
NJ
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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