Individual
MS. JANE TAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
75-5699 KOPIKO ST, KAILUA KONA, HI 96740-1668
(808) 329-7744
(808) 334-1608
Mailing address
75-5481 MAMALAHOA HWY, HOLUALOA, HI 96725-9625
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1889
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55793600
ALOHA CARE
HI
05
—
593261
—
HI
Enumeration date
11/02/2006
Last updated
01/08/2008
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