Individual
NADINE TENN SALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 S BERETANIA ST, STE 502, HONOLULU, HI 96813-2496
(808) 521-9404
(808) 521-9406
Mailing address
3919 SIERRA DR, HONOLULU, HI 96816-3342
(808) 521-9404
(808) 521-9406
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11321MD
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507510-02
—
HI
Enumeration date
06/21/2006
Last updated
07/08/2007
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