Individual
LATOYA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(808) 433-0293
Mailing address
249 KAPILI ST APT 601B, HONOLULU, HI 96815-3172
(267) 997-4933
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
65565
PA
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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