GWEN MIKASA

HONOLULU, HI
NPI1184272007
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: HI  657)
Enumeration Date2019-09-04
Last Update Date2019-09-04
Business Address
GWEN MIKASA
OFFICE OF STUDENT SUPPORT MEDICAID REIMBURSEMENT 475 22ND AVE, BLDG 302, ROOM 101
HONOLULU, HI 96816
Phone number: 808-305-9750
Mailing Address
GWEN MIKASA
OFFICE OF STUDENT SUPPORT MEDICAID REIMBURSEMENT 475 22ND AVE, BLDG 302, ROOM 101
HONOLULU, HI 96816
Phone number: 808-305-9750