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Individual

DR. LEILA M. MIYAMOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
190
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01799501
HI
01
990305380 01
UNIVERSITY HEALTH ALLIANC
HI
01
990305380 02
UHA
HI
01
990305380 20
UHA
HI
01
990305380 21
UHA
HI
01
C0019343
HAWAII MEDICAL SERVICE AS
HI
01
CW997Z
PTAN
HI
01
D0019341
HMSA
HI
Enumeration date
10/04/2006
Last updated
05/13/2020
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