Individual
SAMUEL ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
98-1005 MOANALUA RD SPC 3030, AIEA, HI 96701-4735
(808) 627-3200
Mailing address
98-1005 MOANALUA RD SPC 3030, AIEA, HI 96701-4735
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MDR-8526
HI
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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