Individual
MS. TIANNA S DOCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
725 KAPIOLANI BLVD, HONOLULU, HI 96813-6012
(808) 596-7200
Mailing address
720 KALAAU PL, HONOLULU, HI 96821-2413
(808) 333-7051
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000054550
HI
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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