SHANNON KEIKO IKEDA

SAN MATEO, CA
NPI1659698876
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  9954)
Enumeration Date2010-04-27
Last Update Date2016-03-16
Business Address
-- SHANNON KEIKO IKEDA
1720 S AMPHLETT BLVD STE 250
SAN MATEO, CA 94402-2702
Phone number: 650-931-6300
Mailing Address
-- SHANNON KEIKO IKEDA
112 SCENIC DR
REDWOOD CITY, CA 94062-3233
Phone number: 650-931-6300