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Individual

DR. RICARDO CHICO CUSTODIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
86-260 FARRINGTON HWY, WAIANAE, HI 96792-3128
(808) 696-1444
(808) 696-7093
Mailing address
86-260 FARRINGTON HWY, WAIANAE, HI 96792-3128
(808) 696-1444
(808) 696-7093

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD-6116
HI

Other

Enumeration date
07/16/2006
Last updated
07/09/2007
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