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Individual

MRS. RENEE LYNN TESORO DANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
86-260 FARRINGTON HWY, WAIANAE, HI 96792-3128
(808) 697-3300
Mailing address
95-192 MOHAI PL, MILILANI, HI 96789-1221
(808) 754-3043

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-613
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000258426
HMSA PROVIDER NUMBER
HI
01
57802301
ALOHA CARE PROVIDER NUMBE
HI
01
8670783
UHA PIN NUMBER
HI
Enumeration date
04/13/2007
Last updated
01/06/2012
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