Individual
MS. SUNNY OTAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HEALTH INSTRUCTOR
Contact information
Practice address
56-119 PUALALEA ST, KAHUKU, HI 96731-2052
(808) 293-9231
Mailing address
PO BOX 395, KAHUKU, HI 96731-0395
(808) 293-9231
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-110071-0
HI
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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