Individual
TIMOTHY A. STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
84-275 MAKAHA VALLEY RD, WAIANAE, HI 96792-2130
(808) 927-4084
Mailing address
84-275 MAKAHA VALLEY RD, WAIANAE, HI 96792-2130
(808) 927-4084
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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