Organization
ISLAND ABILITIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DORAN M.S. CCC-SLP (OWNER MEMBER)
(808) 352-5052
Entity
Organization
Contact information
Practice address
95-1023 HAALILO ST, MILILANI, HI 96789-6575
(808) 352-5052
Mailing address
95-1023 HAALILO ST, MILILANI, HI 96789-6575
(808) 352-5052
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-762
HI
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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