Individual
MICAH GLAZIELLE MONZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
91-1051 FRANKLIN D. ROOSEVELT AVE, KAPOLEI, HI 96707
(808) 481-2413
Mailing address
717 SIBLEY ST, HONOLULU, HI 96818-3634
(619) 808-3495
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
65522
CA
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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