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Individual

DR. SHELLY A. TOMISHIMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3288
Mailing address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3288

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY-747
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000250852
HMSA
HI
01
00A0250852
HMSA
HI
01
534232
HMA, INC.
HI
05
548597-03
HI
05
54859705
HI
Enumeration date
09/01/2005
Last updated
09/08/2008
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