Individual
LAUREN PETTIFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N VINEYARD BLVD STE 274, HONOLULU, HI 96817-3950
(808) 256-1355
Mailing address
200 N VINEYARD BLVD STE 274, HONOLULU, HI 96817-3950
(808) 256-1355
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-758
HI
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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