Individual
SHIRLEY TAKARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 LANAKILA AVE, RM 210, HONOLULU, HI 96817-2115
(808) 832-5688
(808) 832-5698
Mailing address
1700 LANAKILA AVE, RM 210, HONOLULU, HI 96817-2115
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
OT-632
HI
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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