Search › Hawaii › 163WC0400X
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 HawaiiInferred 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