TED MASAO IKARI

ALPHARETTA, GA
NPI1659093342
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OH  145029)
Enumeration Date2022-09-19
Last Update Date2022-09-19
Business Address
TED MASAO IKARI CRNA
2575 NORTHWINDS PKWY
ALPHARETTA, GA 30009-2232
Phone number: 808-255-4455
Mailing Address
TED MASAO IKARI CRNA
PO BOX 129
HONOMU, HI 96728-0129
Phone number: 808-255-4455