Individual
SABRINA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 244-9056
Mailing address
221 MAHALANI ST, WAILUKU, HI 96793-2526
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9116
NONE
—
Enumeration date
01/07/2019
Last updated
04/30/2020
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