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Individual

MRS. RACHEL SLATER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D

Contact information

Practice address
47 LANIHULI ST, HILO, HI 96720-7205
(808) 967-4711
Mailing address
47 LANIHULI ST, HILO, HI 96720-7205
(808) 967-4711

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD835
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000372060
HI
Enumeration date
10/17/2012
Last updated
04/04/2019
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