Individual
JACKIEFLOR B DAPON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91-1537 MILIMILI ST, EWA BEACH, HI 96706-5674
(808) 807-3412
(808) 460-4008
Mailing address
91-1537 MILIMILI ST, EWA BEACH, HI 96706-5674
(808) 807-3412
(808) 460-4008
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
67
HI
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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