Individual
RANDY R WEIRATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
850 W HIND DR, 104/108, HONOLULU, HI 96821-1855
(808) 373-4787
(808) 373-4787
Mailing address
46-260 AHUI NANI PL, KANEOHE, HI 96744-4051
(808) 341-3716
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-556
HI
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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