Individual
KARI DAWN SCHALLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
947 S KIHEI RD, KIHEI, HI 96753-9127
(503) 997-2172
Mailing address
947 S KIHEI RD, KIHEI, HI 96753-9127
(503) 997-2172
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
93008
HI
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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