Individual
JOHN TAELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
45-111 WAIKAPOKI RD, APT. D, KANEOHE, HI 96744-2779
(808) 393-7849
Mailing address
45-111 WAIKAPOKI RD, APT. D, KANEOHE, HI 96744-2779
(808) 393-7849
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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