Individual
PENINA HANALOA MATA'U
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56-660 KAMEHAMEHA HWY, KAHUKU, HI 96731-2210
(877) 393-7555
Mailing address
55-613 NANILOA LOOP, LAIE, HI 96762-1241
(808) 223-2055
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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