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Individual

RENISSE TRECIA TRILLANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
590 FARRINGTON HWY UNIT 525, KAPOLEI, HI 96707-2034
(808) 762-2311
Mailing address
590 FARRINGTON HWY UNIT 525, KAPOLEI, HI 96707-2034
(808) 762-2311

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AMD-1129
HI
363A00000X
Physician Assistant
PA61342922
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2292214
WA
Enumeration date
12/30/2015
Last updated
03/18/2026
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