Individual
DR. ANITA AGUEDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
258 KUUKAMA ST, KAILUA, HI 96734-2949
(808) 262-0398
(808) 261-4463
Mailing address
PO BOX 393, KAILUA, HI 96734-0393
(808) 262-0398
(808) 261-4463
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY233
HI
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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