Individual
SANAM REZAZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1337 LOWER CAMPUS RD, HONOLULU, HI 96822-2352
(808) 956-7144
Mailing address
3432 PAALEA ST APT A, HONOLULU, HI 96816-3173
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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