Individual
PATRICK AKIRA JICHAKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
58-129 WEHIWA WAY, HALEIWA, HI 96712-9757
(808) 798-1537
Mailing address
58-129 WEHIWA WAY, HALEIWA, HI 96712-9757
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
616
HI
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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