Individual
JACQUELINE PAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
4725 BOUGAINVILLE DR, HONOLULU, HI 96818-3179
(808) 312-3878
Mailing address
4725 BOUGAINVILLE DR, HONOLULU, HI 96818-3179
(808) 312-3878
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD-1043
HI
152W00000X
Optometrist
OEG003595
PA
Other
Enumeration date
07/26/2019
Last updated
10/07/2024
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