Individual
MRS. MIHOKO YACAVONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, IBCLC
Contact information
Practice address
833 15TH AVE, HONOLULU, HI 96816
(808) 561-3239
Mailing address
833 15TH AVE, HONOLULU, HI 96816-3613
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
180-LD
HI
174N00000X
Lactation Consultant (Non-RN)
L-125869
VA
Other
Enumeration date
08/15/2018
Last updated
08/28/2018
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