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Individual

DR. JACQUELINE TOMOKO UEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
615 PIIKOI ST, SUITE 205, HONOLULU, HI 96814-3116
(808) 591-9911
(808) 591-9909
Mailing address
615 PIIKOI ST, SUITE 205, HONOLULU, HI 96814-3116
(808) 591-9911
(808) 591-9909

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD-495
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G50102
ORAL CODE NUMBER
HI
Enumeration date
05/11/2007
Last updated
09/29/2018
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