Individual
ELIZABETH MIKHEL LEGENDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 KEKAULIKE ST, HILO, HI 96720-2462
(808) 974-4300
(808) 974-4310
Mailing address
PO BOX 1893, PAHOA, HI 96778-1893
(808) 965-8603
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
539372-15
—
HI
Enumeration date
02/14/2007
Last updated
07/09/2007
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