Individual
SHANE GOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1626 KANAPUU DR, KAILUA, HI 96734-4182
(808) 262-3335
Mailing address
1626 KANAPUU DR, KAILUA, HI 96734-4182
(808) 262-3335
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5373
HI
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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