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Individual

CIENNA MARIE GALICINAO CORPUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
80 PAUAHI ST STE 208, HILO, HI 96720-3044
(808) 969-1935
Mailing address
28-3008 ANDRADE RD, PEPEEKEO, HI 96783-8403

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/30/2024
Last updated
10/30/2024
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