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Organization

OHANA CLINICAL CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANNIE CHUNG PH.D. (PRESIDENT)
(808) 482-0698
Entity
Organization

Contact information

Practice address
1770A BETTENCOURT LN, KAPAA, HI 96746-9145
(808) 482-0698
Mailing address
PO BOX 715, KAPAA, HI 96746-0715
(808) 482-0698

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
750
HI

Other

Enumeration date
04/28/2008
Last updated
04/28/2008
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