Individual
MS. TERESA PAIGE NEIDHAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
460 KILAUEA AVE STE 101, HILO, HI 96720-3084
(808) 935-3481
(808) 935-4436
Mailing address
PO BOX 10358, HILO, HI 96721-5358
(808) 987-1458
(808) 935-4436
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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