ANDREA IKEDA

JOLIET, IL
NPI1902852940
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: IL  211-000205)
Enumeration Date2006-05-25
Last Update Date2007-07-08
Business Address
-- ANDREA IKEDA M.S., C.P., L.P.
815 N LARKIN AVE STE. 207
JOLIET, IL 60435-3438
Phone number: 815-207-4200
Mailing Address
-- ANDREA IKEDA M.S., C.P., L.P.
815 N LARKIN AVE STE. 207
JOLIET, IL 60435-3438
Phone number: 815-207-4200
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