Individual
CHAYATA WONGPOJANEE OTSUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1190 WAIANUENUE AVE, HILO, HI 96720-2089
(808) 932-3000
Mailing address
585 PILINUI PL, HILO, HI 96720-6232
(808) 854-1343
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-3033
HI
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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