Individual
JULIA UPHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91-1841 FORT WEAVER RD, EWA BEACH, HI 96706-1909
(808) 681-1427
Mailing address
95-1059 KUAULI ST APT 25, MILILANI, HI 96789-4949
(808) 225-8374
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
09/22/2022
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