Individual
JESSICA KU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
25-65 PUKANA LA ST, HILO, HI 96720-1377
(909) 936-0212
Mailing address
25-65 PUKANA LA ST, HILO, HI 96720-1377
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3623
HI
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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