Individual
MRS. CANDACE A Y BARRETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
99-128 AIEA HEIGHTS DR, SUITE 207, AIEA, HI 96701-3925
(808) 487-0487
Mailing address
95-1086 EULU ST, MILILANI, HI 96789-3725
(808) 487-0487
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT3661
LICENSE
HI
Enumeration date
05/02/2013
Last updated
11/10/2016
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