Individual
MRS. REBECCA LYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1100 ALAKEA ST, HONOLULU, HI 96813-2833
(808) 523-7771
(808) 523-1997
Mailing address
84-721 UPENA ST, WAIANAE, HI 96792-1937
(808) 275-6247
(808) 523-1997
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000596114
MAKAHA
HI
Enumeration date
02/21/2007
Last updated
07/08/2007
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