Individual
CONNICE WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1060 SPENCER ST APT N, HONOLULU, HI 96822-5119
(808) 620-3863
Mailing address
1060 SPENCER ST APT N, HONOLULU, HI 96822-5119
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1090602
HI
Other
Enumeration date
03/09/2012
Last updated
06/08/2024
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