Individual
TIANALEE FEITEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 N. MARKET STREET, WAILUKU, HI 96793
(808) 242-8788
Mailing address
40 N. MARKET STREET, WAILUKU, HI 96793
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
11765
HI
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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