Individual
BETH JARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6000
Mailing address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13087
HI
208600000X
Surgery Physician
298807
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
563917-02
—
HI
Enumeration date
09/29/2006
Last updated
08/26/2020
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