Individual
SARA BASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
45-609 APAPANE ST, KANEOHE, HI 96744-1915
(808) 382-0499
Mailing address
45-609 APAPANE ST, KANEOHE, HI 96744-1915
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MAT-14030
HI
Other
Enumeration date
10/25/2016
Last updated
10/24/2024
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