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MRS. JACQUELINE YVONNE CHACON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
91-896 MAKULE RD, SUITE 102, EWA BEACH, HI 96706-2543
(808) 689-4414
(808) 689-7115
Mailing address
91-896 MAKULE RD, SUITE 102, EWA BEACH, HI 96706-2543
(808) 689-4414
(808) 689-7115

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1370
HI

Other

Enumeration date
05/01/2012
Last updated
10/28/2020
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