Individual
SANDRA WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
575 FARRINGTON HWY, KAPOLEI, HI 96707-2001
(808) 674-4006
(808) 674-4007
Mailing address
91-086 KAOMI LOOP, KAPOLEI, HI 96707-1710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ST-483
HI
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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