Individual
MARYRUTH EAVES-HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
101 AUPUNI ST, STE 313, HILO, HI 96720-4262
(719) 659-6035
Mailing address
101 AUPUNI ST, SUITE 313, HILO, HI 96720-4246
(808) 238-0543
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1185
HI
Other
Enumeration date
11/03/2010
Last updated
01/26/2011
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