Individual
TAMARA LASHAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS, MSHA
Contact information
Practice address
459 PATTERSON RD BLDG 110, HONOLULU, HI 96819-1522
(808) 433-0217
Mailing address
98-707 IHO PL APT 1401, AIEA, HI 96701-2525
(601) 467-7705
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
70520
MS
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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