Individual
LEEANN CHO VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91-1841 FORT WEAVER RD, EWA BEACH, HI 96706-1909
(808) 681-1470
(808) 681-1486
Mailing address
91-526 MAOHAKA PL, EWA BEACH, HI 96706-4533
(808) 542-3088
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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