Individual
KATHY Y MAMALIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHS
Contact information
Practice address
2306 ANAPANAPA ST, PEARL CITY, HI 96782-1133
(808) 216-9694
(808) 455-6052
Mailing address
2306 ANAPANAPA ST, PEARL CITY, HI 96782-1133
(808) 216-9694
(808) 455-6052
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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