Individual
KELLI UYETAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-780 MEHEULA PKWY STE A, MILILANI, HI 96789-2199
(808) 623-6636
Mailing address
95-1119 KUALAPA ST, MILILANI, HI 96789-4277
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2574
HI
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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