DERRICK DE SOTO

HONOLULU, HI
NPI1164808747
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent
(Licence: HI  RN74889)
Enumeration Date2015-08-05
Last Update Date2015-08-05
Business Address
DERRICK DE SOTO
1301 PUNCHBOWL ST
HONOLULU, HI 96813-2402
Phone number: 808-538-9011
Mailing Address
DERRICK DE SOTO
1301 PUNCHBOWL ST
HONOLULU, HI 96813-2402
Phone number:
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