Individual
GWEN TAKETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3627 KILAUEA AVE, 411, HONOLULU, HI 96816-2317
(808) 733-9260
(808) 833-9187
Mailing address
1700 LANAKILA AVE, HONOLULU, HI 96817-2115
(808) 832-3823
(808) 832-5850
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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