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Individual

MS. PAMELA D. WOLZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2180 MAIN ST, WAILUKU, HI 96793-1666
(808) 242-6464
(808) 242-4292
Mailing address
2180 MAIN ST, WAILUKU, HI 96793-1666
(808) 242-6464
(808) 242-4292

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2001-PA13
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A00120
STATE NARC.
HI
01
AMD-301
HI LIC.
HI
05
B9135
NM
Enumeration date
08/31/2005
Last updated
02/19/2010
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