Individual
HENANINOOEKAWAHINEUI WANDASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W KAWILI ST, HILO, HI 96720-4075
(808) 932-7799
Mailing address
200 W KAWILI ST, HILO, HI 96720-4075
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/18/2017
Last updated
10/08/2021
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