Individual
COTY GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
86-260 FARRINGTON HWY, WAIANAE, HI 96792-3128
(808) 697-3300
Mailing address
86-260 FARRINGTON HWY, WAIANAE, HI 96792-3128
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
63031
HI
363LF0000X
Family Nurse Practitioner
Primary
2022
HI
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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