Individual
TIMOTHY GILLILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1485 LINAPUNI ST RM 105, HONOLULU, HI 96819-3575
(808) 847-3285
Mailing address
1416 KEALIA DR, HONOLULU, HI 96817-1975
(808) 256-0237
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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