Individual
MS. ANGELA FAASALIA POLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1329 LUSITANA ST STE 206, HONOLULU, HI 96813-2411
(808) 528-3888
Mailing address
1621 DOLE ST APT 403, HONOLULU, HI 96822-4835
(808) 398-9266
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
1340
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2022
Last updated
04/04/2024
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