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Dicmoore Derick John Domingo — NPI 1255144697, Kahului, HI | NPI Central

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NPI 1255144697

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Dicmoore Derick John Domingo

NPI 1255144697 · Case Manager/Care Coordinator · Kahului, HI

Provider details

NPI number: 1255144697
Entity type: Individual
Primary specialty: Case Manager/Care CoordinatorOther Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Case Manager/Care CoordinatorPrimary171M00000X
Other Service Providers

Practice location

Po Box 330026

Kahului, HI 96733-0026

Phone: (808) 542-8035

Approximate (ZIP-level) locationGet directions

More HI providers

Mailing address

Po Box 330026

Kahului, HI 96733-0026

Additional practice locations (1)

131 Anamuli St
Kahului, HI 96732-4501
Phone: (808) 542-8035

Registry dates

Enumerated: 2025-01-29
Last updated: 2025-01-29
Certified: 2025-01-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.