Organization
DEPARTMENT OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINY PARK (AO, MHS)
(808) 433-0676
Entity
Organization
Contact information
Practice address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(808) 433-0357
Mailing address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(808) 433-0357
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
32606
CA
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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