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Individual

USAMA S EDRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
520 LUNALILO HOME RD UNIT 6102, HONOLULU, HI 96825-1745
(718) 614-2244
Mailing address
520 LUNALILO HOME RD UNIT 6102, HONOLULU, HI 96825-1745
(718) 614-2244

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
047858-1
NY
225700000X
Massage Therapist
18230
HI

Other

Enumeration date
02/25/2010
Last updated
12/23/2025
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