Individual
MARIA POLA TABLADILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-483 OPEHA ST, WAIPAHU, HI 96797-4517
(808) 379-2133
(808) 312-1750
Mailing address
94-483 OPEHA ST, WAIPAHU, HI 96797-4517
(808) 379-2133
(808) 312-1750
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1-120048
HI
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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