Individual
DR. DIANE MICHELLE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
84-770 UPENA ST, WAIANAE, HI 96792-1936
(808) 492-8258
Mailing address
84-770 UPENA ST, WAIANAE, HI 96792-1936
(808) 492-8258
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13581
NE
183500000X
Pharmacist
57976
CA
183500000X
Pharmacist
Primary
PH-3145
HI
Other
Enumeration date
03/23/2006
Last updated
12/13/2013
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