Individual
HANNA LEE DISTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1319 PUNAHOU ST # 741, HONOLULU, HI 96826-1001
(808) 369-1234
Mailing address
1319 PUNAHOU ST # 741, HONOLULU, HI 96826-1001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MDR7703
HI
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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