Individual
SEAN GREGORY SCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
91-590 FARRINGTON HIGHWAY #300, EWA, HI 96707
(808) 674-0269
Mailing address
1245 KUALA ST, PEARL CITY, HI 96782-3900
(808) 784-2273
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2565
HI
Other
Enumeration date
03/09/2006
Last updated
06/04/2020
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