Individual
ALICIA AMEDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
75-5719 ALII DR STE 2 # 2A, KAILUA KONA, HI 96740-1738
(808) 937-0045
Mailing address
81-1086 KEOPUKA MAUKA RD, KEALAKEKUA, HI 96750-8159
(808) 937-0045
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6610
HI
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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