Individual
THERESE COMPAGNONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 HAHANI ST, SUITE A1, KAILUA, HI 96734-2802
(808) 261-4999
Mailing address
264 POULI RD, KAILUA, HI 96734-3413
(808) 382-7574
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
209
HI
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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