Individual
CAMIKA LACHAE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91-1122 WAIPUHIA ST, EWA BEACH, HI 96706-6490
(808) 372-3786
Mailing address
91-1122 WAIPUHIA ST, EWA BEACH, HI 96706-6490
(808) 372-3786
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4517
HI
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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