Individual
MS. TERRIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3-3420 KUHIO HWY, SUITE B, LIHUE, HI 96766-1098
(808) 245-1524
(808) 246-1361
Mailing address
3-3420 KUHIO HIGHWAY, SUITE B, LIHUE, HI 96766-1098
(808) 245-1524
(808) 246-1361
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AMD-110
HI
Other
Enumeration date
11/08/2006
Last updated
09/17/2010
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