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Individual

DR. CAROLYN SHEONG JUN MA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
34 RAINBOW DR, HILO, HI 96720-2056
(808) 933-3870
Mailing address
34 RAINBOW DR, HILO, HI 96720-2056
(808) 933-3870

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
09358
NV
1835P1200X
Pharmacotherapy Pharmacist
Primary
PH-1174
HI
1835P1200X
Pharmacotherapy Pharmacist
RPH 40545
CA

Other

Enumeration date
03/14/2010
Last updated
03/14/2010
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