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Individual

SOUKSAMLANE ITAMOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
91-980 NORTH RD, EWA BEACH, HI 96706-2746
(808) 305-3659
Mailing address
91-939 AKAHOLO ST, EWA BEACH, HI 96706-2203
(808) 358-9540

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
64049
HI

Other

Enumeration date
04/23/2019
Last updated
04/23/2019
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