Individual
LEONETTE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDMS, BSRT
Contact information
Practice address
4348 WAIALAE AVE # 502, HONOLULU, HI 96816-5767
(808) 551-2269
Mailing address
4348 WAIALAE AVE # 502, HONOLULU, HI 96816-5767
(808) 551-2269
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5241-5
HAWAII MEDICAL SERVICES ASSOCIATION
HI
Enumeration date
09/13/2016
Last updated
09/13/2016
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