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Individual

MS. SHERYL ANN IKEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
568820
CA
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
568820
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
568820
CA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
568820
CA

Other

Enumeration date
08/05/2010
Last updated
08/05/2010
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