Individual
DR. JUNEDALE YUKA NISHIYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
WARRIOR OHANA MEDICAL HOME 91-1010 SHANGRILA ST, STE 500, KAPOLEI, HI 96707-2176
(808) 433-5420
(808) 682-4001
Mailing address
TRIPLER ARMY MEDICAL CENTER 1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(808) 433-5420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A95075
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD 15473
STATE MEDICAL LICENSE
HI
Enumeration date
05/02/2007
Last updated
12/15/2023
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