Individual
SA RAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5520 KA HAKU RD, PRINCEVILLE, HI 96722-5214
(808) 855-0908
Mailing address
PO BOX 311, KILAUEA, HI 96754-0311
(808) 855-0908
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95001864
CA
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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