Individual
TAMARA HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOMECARE PROVIDER
Contact information
Practice address
11-2078 KOKOKAHI RD, MT VIEW, HI 96771-9677
(808) 747-2273
Mailing address
PO BOX 817, VOLCANO, HI 96785-0817
(808) 747-2273
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
GE-198-504-6528-01
HI
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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