Individual
KAMAILEOKALANI CONSITA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, RDH
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DH-1672
HI
363A00000X
Physician Assistant
Primary
AMD-1062
HI
Other
Enumeration date
06/08/2021
Last updated
03/22/2022
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