Individual
GRACE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
5085 LIKINI ST APT B308, HONOLULU, HI 96818-2386
(808) 459-9931
Mailing address
5085 LIKINI ST APT B308, HONOLULU, HI 96818-2386
(808) 459-9931
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-2335-0
HI
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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