Individual
DALLAS R ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75-184 HUALALAI RD STE 202, KAILUA KONA, HI 96740-1719
(808) 329-8251
(808) 334-0130
Mailing address
75-184 HUALALAI RD STE 202, KAILUA KONA, HI 96740-1719
(808) 329-8251
(808) 334-0130
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3269
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001824
—
HI
Enumeration date
08/04/2021
Last updated
04/19/2024
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