Individual
ASHLEY ELIZABETH BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 LONO AVE STE 305, KAHULUI, HI 96732-1635
(808) 878-8301
Mailing address
33 LONO AVE STE 305, KAHULUI, HI 96732-1635
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A131964
CA
207L00000X
Anesthesiology Physician
Primary
MD-22031
HI
Other
Enumeration date
05/01/2013
Last updated
03/01/2022
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