Individual
MICHELLE LEIGHANN WIMBERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 HAUMEA ST, KAPOLEI, HI 96707-2044
(808) 674-3523
Mailing address
91-1016 KAIMOANA ST, EWA BEACH, HI 96706-6074
(808) 222-0047
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-334
HI
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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