Individual
MIKEAL STANSBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
475 22ND AVE RM 127, HONOLULU, HI 96816-4400
(808) 304-9787
Mailing address
475 22ND AVE RM 127, HONOLULU, HI 96816-4400
(808) 304-9787
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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