Most Relevant Information
Provider Data
| NPI Number: | 1003299926 |
| Provider Name: | ASHLEY KIMIKO IKEDA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/09/2015 |
| Last Updated: | 09/30/2020 |
Provider Practice Location
3010 COLBY ST STE 221
BERKELEY
CA
947052056
Practice Location Phone/Fax
| Phone: | 5109229757 |
| Fax: | 5109229514 |
Provider Mailing Location
10 MOSS AVE APT 20
OAKLAND
CA
946101300
Provider Mailing Phone/Fax
| Phone: | 4152258783 |
| Fax: |