LEANN KU'UNANI IKEDA MARVIL

BONNEY LAKE, WA
NPI1730782608
Former NameLEANN KU'UNANI LAZARO IKEDA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  61094379)
Enumeration Date2020-11-20
Last Update Date2023-11-01
Business Address
LEANN KU'UNANI IKEDA MARVIL PA-C
18626 GREENWOOD PL E
BONNEY LAKE, WA 98391-9669
Phone number: 808-346-1464
Mailing Address
LEANN KU'UNANI IKEDA MARVIL PA-C
18626 GREENWOOD PL E
BONNEY LAKE, WA 98391-9669
Phone number: 808-346-1464
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