Individual
STACY S YAMADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1380 LUSITANA ST LBBY 3, HONOLULU, HI 96813-2439
(808) 537-7546
Mailing address
PO BOX 29640, HONOLULU, HI 96820-2040
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
885914
HI
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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