MRS. Nicole Marie Ikeda, PA-C
NPI #1952858441 in Dedham, Massachusetts
Provider Information
- NPI Number
- 1952858441
- Entity Type
- Individual
- Name
- MRS. Nicole Marie Ikeda, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Sep 1, 2016
- Last Updated
- Dec 5, 2019
Practice Location
- Address
- 1 LYONS ST
- Address 2
- DEPT. OF DERMATOLOGY
- City
- Dedham
- State
- Massachusetts
- ZIP Code
- 02026
- Phone
- (781) 329-1400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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