| Doctor Name: | ELLECIA COOK |
| NPI Number: | 1831422906 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | UO2227 |
| Business Practice Address: | 2180 Main St Wailuku, HI - 967931625 |
| Business Phone Number: | 8082426464 |
| Business Fax Number: | 8082424292 |
| Mailing Address: | 2180 Main St, WAILUKU |
| State: | HI |
| Postal Code: | 967931625 |
| Phone Number: | 8082426464 |
| Fax Number: | 8082424292 |
| NPI Enumeration Date: | 09/08/2009 |
| NPI Last Update Date: | 09/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | UO2227 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |