Individual
SIMONE KARLA CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1314 S KING ST, #1516, HONOLULU, HI 96814-1956
(808) 591-9339
Mailing address
1833 ANAPUNI ST, #103, HONOLULU, HI 96822-3279
(808) 232-3772
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MAT 8854
HI
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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