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Individual

MS. ROBERTA ANN MEDEIROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
919 LEHUA AVE, PEARL CITY, HI 96782-3328
(808) 455-0984
Mailing address
91-328 HOOWALEA PL, EWA BEACH, HI 96706-4947

Taxonomy

Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
410
HI

Other

Enumeration date
08/24/2013
Last updated
08/24/2013
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