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Individual

DR. ISSAR DARYANANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
91-2301 OLD FT WEAVER RD, EWA BEACH, HI 96706-3602
(808) 671-8511
Mailing address
91-2301 OLD FT WEAVER RD, EWA BEACH, HI 96706-3602
(808) 671-8511

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-1999
HI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/09/2022
Last updated
04/05/2022
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