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Organization
MELANIETANTISIRA,MD, LLC
Active
Organization
MELANIETANTISIRA,MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE TANTISIRA M.D. (MEMBER)
(808) 591-9111
Entity
Organization
Contact information
Practice address
1010 S KING ST, SUITE 503, HONOLULU, HI 96814-1701
(808) 591-9111
Mailing address
1010 S KING ST, SUITE 503, HONOLULU, HI 96814-1701
(808) 591-9111
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
8838
HI
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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