Individual
MARY PESCADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91-1028 KAUNOLU ST, EWA BEACH, HI 96706-2823
(808) 689-1280
Mailing address
PO BOX 2343, EWA BEACH, HI 96706-0343
(808) 639-1276
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-975
HI
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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