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Individual

RIKKILYN GRACE HASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
781 WAKEA ST APT A214, KAPOLEI, HI 96707-4563
(903) 363-6646
Mailing address
781 WAKEA ST APT A214, KAPOLEI, HI 96707-4563
(903) 363-6646

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-650
HI

Other

Enumeration date
01/17/2023
Last updated
01/17/2023
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