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Contact Information

HOLLY ICHIDA
3117 SISTINE CHAPEL CIR
JONESBORO, AR72404-7959
 Phone: 614-432-9803
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Health & Wellness Coach

171400000X
Indicates primary specialty

NPI Profile & details for HOLLY ICHIDA · (Female)

NPI # 1417699430
Status Active
Credentials
Entity Individual
Enumeration date 04/11/2022
Last updated 02/23/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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