Individual
MRS. PRISCILLA L. OMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
44 KANANI RD, KIHEI, HI 96753-6713
(808) 643-4480
Mailing address
44 KANANI RD, KIHEI, HI 96753-6713
(808) 643-4480
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-418
HI
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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