Individual
LIANE JUNKO WATANABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1245 KUALA ST STE 102A, PEARL CITY, HI 96782-3900
(808) 726-2161
(808) 726-2163
Mailing address
1245 KUALA ST STE 102A, PEARL CITY, HI 96782-3900
(808) 726-2161
(808) 726-2163
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO-196
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79310
—
HI
01
—
PO-196
DPM
HI
Enumeration date
03/22/2011
Last updated
01/31/2023
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