Individual
TIFFANY MIZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47-047 KAMEHAMEHA HWY, KANEOHE, HI 96744-4731
(808) 235-4551
Mailing address
46-047 KAMEHAMEHA HWY, KANEOHE, HI 96744-3736
(808) 235-4551
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH3710
HI
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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