Individual
MCKENZIE TREADAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
(808) 944-2882
Mailing address
1445 D AVE, WEST COLUMBIA, SC 29169-6106
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
89827
HI
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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