Individual
RYAN KM IKEUCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
234 WAIANUENUE AVE STE 216, HILO, HI 96720-2418
(808) 557-9537
Mailing address
PO BOX 10122, HILO, HI 96721-5122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
06/29/2023
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