SearchHawaii163WC0400X

Jane Idica

NPI 1053049346 · on the registry since 2022 · sole proprietor

Practice

Address
480 Central Ave
Pearl Harbor, HI 96860
Phone
(808) 674-7819
Organisation at this address
U.S. Navy
Nhc Hawaii
Naval Medical Clinic
Naval Health Clinic Hawaii
Naval Health Clinic Hawaii
Inferred from a shared address, not stated in the registry.
Clinicians at this address
293

Registry record

Primary taxonomy
163WC0400X
163WC0400X
Licence states on file
HI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii