Individual
JAIME G PARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1190 WAIANUENUE AVE, HILO, HI 96720-2089
(808) 932-4215
Mailing address
1190 WAIANUENUE AVE, HILO, HI 96720-2089
(808) 932-4215
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-22977
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/24/2019
Last updated
01/03/2023
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