Ichikawa, Myra

Ichikawa, Myra is an individual health care provider with primary practice located at 25825 Vermont Ave , Harbor City CA 90710-3518. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Ichikawa, Myra can be contacted via phone (310) 944-0745.

Contact Information

Primary practice address
25825 Vermont Ave Harbor City CA 90710-3518
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1058374 California

Profile Details

NPI number 1811735459
LBN Legal business name Ichikawa, Myra
Credentials RDN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2024
Last updated Jul 17th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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