Individual
CARLA WATASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 MANAWAI ST APT 401, KAPOLEI, HI 96707-2072
(808) 674-2273
Mailing address
511 MANAWAI ST APT 401, KAPOLEI, HI 96707-2072
(808) 674-2273
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
33966TLG
CA
152W00000X
Optometrist
Primary
OD853
HI
Other
Enumeration date
12/30/2016
Last updated
06/03/2022
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