Individual
KATHLEEN WONG-MIYAHIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
475 22ND AVE, HONOLULU, HI 96816-4400
(808) 301-9812
Mailing address
475 22ND AVE, HONOLULU, HI 96816-4400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-888
HI
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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