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Individual

CHAKA RA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
34 WAILEA GATEWAY PL, KIHEI, HI 96753-6525
(808) 874-6000
Mailing address
PO BOX 888, MAKAWAO, HI 96768-0888

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
12266
HI

Other

Enumeration date
12/03/2012
Last updated
12/03/2012
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