Individual
MR. SHAUNAN M REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
888 S KING ST., HONOLULU, HI 96813
(808) 522-4000
Mailing address
377 KEKUPUA ST, HONOLULU, HI 96825-2310
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2208
HI
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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