Individual
JEDDAH LYN GELACIO ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4211 WAIALAE AVE, HONOLULU, HI 96816-5319
(808) 732-0782
Mailing address
94-362 KAHUAPAA PL, WAIPAHU, HI 96797-3518
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH-5014
HI
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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