Individual
IGNACIO JOAQUIN COSICO DELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1390 MILLER ST, HONOLULU, HI 96813-2493
(808) 586-3230
Mailing address
PO BOX 504113, SAIPAN, MP 96950-4113
(670) 789-8785
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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