Individual
CARMEN STANKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1380 LUSITANA ST, SUITE 814, HONOLULU, HI 96813-2421
(808) 521-5802
Mailing address
1380 LUSITANA ST, SUITE 814, HONOLULU, HI 96813-2421
(808) 521-5802
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4913
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054009-01
—
HI
01
—
C062343
HMSA
HI
Enumeration date
08/19/2006
Last updated
07/08/2007
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