Individual
TESA LINDSTROM STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1887 MAKUAKANE ST, MEDICAL SERVICES-HALE OLA, HONOLULU, HI 96817-1800
(808) 842-8075
Mailing address
1887 MAKUAKANE ST, MEDICAL SERVICES-HALE OLA, HONOLULU, HI 96817-1800
(808) 842-8075
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1290
HI
363LP0200X
Pediatric Nurse Practitioner
648059
TX
Other
Enumeration date
07/31/2006
Last updated
10/02/2014
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