Organization
NEURO CONNECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE LEA RUSSO R.EEG.T (CEO)
(808) 754-7967
Entity
Organization
Contact information
Practice address
1188 BISHOP ST STE 607, HONOLULU, HI 96813-3302
(808) 754-7967
(808) 356-0771
Mailing address
PO BOX 851, KAILUA, HI 96734-0851
(808) 754-7967
(808) 930-5551
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/29/2010
Last updated
10/31/2013
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