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Individual

VICTORIA CHICCA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
188 MEHANI CIR # A, KIHEI, HI 96753-8072
(661) 477-7571
Mailing address
188 MEHANI CIR # A, KIHEI, HI 96753-8072
(661) 477-7571

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
23538
CA
235Z00000X
Speech-Language Pathologist
Primary
SP-1554
HI

Other

Enumeration date
05/01/2016
Last updated
06/29/2016
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