Individual
MISS AYANNA RECE JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
277 OHUA AVE, HONOLULU, HI 96815-3695
(808) 922-4787
Mailing address
277 OHUA AVE, HONOLULU, HI 96815-3695
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2023
Last updated
02/20/2024
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