Individual
KELLI TAKUSHI-GEYROZAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
47-794 AHUIMANU RD, KANEOHE, HI 96744-5432
(650) 218-9681
Mailing address
47-794 AHUIMANU RD, KANEOHE, HI 96744-5432
(650) 218-9681
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
571
HI
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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