Individual
SLATON CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1356 LUSITANA ST FL 7, HONOLULU, HI 96813-2409
(808) 586-2910
Mailing address
1356 LUSITANA ST FL 7, HONOLULU, HI 96813-2409
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MDR-8502
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/14/2018
Last updated
04/29/2023
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