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Individual

MRS. MARY JANE RICKARD

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
480 CENTRAL AVE, NAVAL HEALTH CLINIC, PEARL HARBOR, HI 96860-4908
(808) 257-5041
(808) 257-5653
Mailing address
91-1079 MAKAHAIAKU ST, KAPOLEI, HI 96707-3006
(808) 257-5041
(808) 257-5653

Taxonomy

Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN45107
HI

Other

Enumeration date
09/29/2005
Last updated
07/08/2007
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