Individual
MS. MANDY IPOLANI KIAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1301 YOUNG ST, SUITE 300, HONOLULU, HI 96814-1896
(808) 550-2552
(808) 550-2551
Mailing address
1301 YOUNG ST, SUITE 300, HONOLULU, HI 96814-1896
(808) 550-2552
(808) 550-2551
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2080
HI
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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