MARIKO ISHIYAMA

MODESTO, CA
NPI1952662991
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208M00000X Hospitalist
(Licence: CA  12904)
Additional Taxonomies207Q00000X Family Medicine
(Licence: CA  20A13309)
Enumeration Date2012-06-06
Last Update Date2024-08-14
Business Address
MARIKO ISHIYAMA D.O
1441 FLORIDA AVE
MODESTO, CA 95350-4404
Phone number: 209-576-3525
Mailing Address
MARIKO ISHIYAMA D.O
3606 BROOK ST
LAFAYETTE, CA 94549-4202
Phone number: 510-703-9040