Individual
LENA AZAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NDTR
Contact information
Practice address
94-820 LUMIAUAU ST APT E201, WAIPAHU, HI 96797-6802
(207) 318-1422
Mailing address
94-820 LUMIAUAU ST APT E201, WAIPAHU, HI 96797-6802
(207) 318-1422
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
86174403
HI
Other
Enumeration date
06/20/2020
Last updated
06/20/2020
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