Individual
MS. SANDRA ANN COFFEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
61-3616 KAWAIHAE RD, KAMUELA, HI 96743-9721
(808) 885-6324
Mailing address
64-5119 KALAKE ST, 64-5119 KALAKE ST, KAMUELA, HI 96743-8201
(808) 885-6324
(808) 885-6324
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MAT5246
HI
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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