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Individual

WILLIAM REZENTES III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1733 AKAAKOA ST, KAILUA, HI 96734-4206
(808) 262-4994
Mailing address
1733 AKAAKOA ST, KAILUA, HI 96734-4206
(808) 262-4994

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-397
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05461402
HI
01
B6298-0
HMSA PROVIDER NUMBER
HI
Enumeration date
06/28/2006
Last updated
04/12/2017
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