Organization
ALLANA WADE COFFEE PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLANA COFFEE (OWNER)
(808) 260-9893
Entity
Organization
Contact information
Practice address
1221 KAPIOLANI BLVD PH 50, HONOLULU, HI 96814-3518
(808) 861-0581
Mailing address
1221 KAPIOLANI BLVD PH 50, HONOLULU, HI 96814-3518
(808) 861-0581
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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