Individual
DR. STACY RENEE AMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
165 MA'A ST., KAHULUI, HI 96732
(808) 446-7120
(808) 446-7121
Mailing address
165 MAA ST, KAHULUI, HI 96732-3603
(808) 446-7120
(808) 446-7121
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DOS-1403
HI
Other
Enumeration date
08/13/2007
Last updated
02/13/2019
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