Individual
SELENA JOY HI'ILEILANI CORPUZ MORITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4300 NUHOU ST, LIHUE, HI 96766-8002
(808) 241-4009
(808) 241-4006
Mailing address
84 ALEO ST, KAPAA, HI 96746-9502
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH-5023
HI
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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