Individual
ELODIE SCHAFFER IMONEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
44-2944 KALANIAI RD, HONOKAA, HI 96727-6870
(808) 775-0619
Mailing address
44-2944 KALANIAI RD, HONOKAA, HI 96727-6870
(808) 775-0619
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
DOS-614
HI
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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