Individual
SUSAN TAVITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
91-221 KAUKOLU PLACE, EWA BEACH, HI 96706-4988
(808) 583-6330
Mailing address
91-221 KAUKOLU PLACE, EWA BEACH, HI 96706
(808) 583-6330
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-73526
HI
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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