Individual
STEPHANIE LYNNE AMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6905 HARRIS AVE, KAILUA, HI 96734
(808) 257-3365
Mailing address
6905 HARRIS AVE, KAILUA, HI 96734
(808) 257-3365
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4314
TN
Other
Enumeration date
04/05/2020
Last updated
02/15/2024
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