Marvil, Leann Ku'Unani Ikeda

Marvil, Leann Ku'Unani Ikeda is an individual health care provider with primary practice located at 18626 Greenwood Pl E , Bonney Lake WA 98391-9669. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Marvil, Leann Ku'Unani Ikeda can be contacted via phone (808) 346-1464.

Contact Information

Primary practice address
18626 Greenwood Pl E Bonney Lake WA 98391-9669
Phone: (808) 346-1464
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 61094379 Washington

Profile Details

NPI number 1730782608
LBN Legal business name Marvil, Leann Ku'Unani Ikeda
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2020
Last updated Nov 1st, 2023 - about 2 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1730782608 NPPES
Washington Other PA61094379 STATE LICENSE

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