MEDICARE: DR. JILL YOSHICEDO DVM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174M00000X	Veterinarian	VE-601	HI

General Provider Information

NPI Number	:	1043652100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JILL YOSHICEDO DVM

Provider Business Mailing Address
First Line	:	111 HEKILI ST
Second Line	:	STE 104
City	:	KAILUA
State	:	HI
Zip	:	96734-2800
Country	:	US
Telephone Number	:	808-263-8863
Fax Number	:	808-263-3601

Provider Business Practice Location Address
First Line	:	111 HEKILI ST
Second Line	:	STE 104
City	:	KAILUA
State	:	HI
Zip	:	96734-2800
Country	:	US
Telephone Number	:	808-263-8863
Fax Number	:	808-263-3601

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2013
Last Update Date	:	07/17/2013

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