| Jocelyn G Cordero Llc | |
|
688 Kinoole St Ste 110a Hilo HI 96720-3868 | |
| (808) 343-2829 | |
| (833) 804-2660 |
| Full Name | Jocelyn G Cordero Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 688 Kinoole St Ste 110a, Hilo, Hawaii |
| Authorized Official Name and Position | Jocelyn G Cordero (OWNER) |
| Authorized Official Contact | 8083432829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jocelyn G Cordero Llc Po Box 11224 Hilo HI 96721-6224 Ph: (808) 343-2829 | Jocelyn G Cordero Llc 688 Kinoole St Ste 110a Hilo HI 96720-3868 Ph: (808) 343-2829 |
| NPI Number | 1497293872 |
|---|---|
| Provider Enumeration Date | 02/07/2017 |
| Last Update Date | 02/17/2023 |
| Certification Date | 02/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497293872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 496 (Hawaii) | Primary |
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