Individual
SELA TUPOU PASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 660 KAMEHAMEHA HWY, KAHUKU, HI 96731
(808) 293-7555
(808) 293-7196
Mailing address
55 660 KAMEHAMEHA HWY, KAHUKU, HI 96731
(808) 293-7555
(808) 293-7196
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
53-STF
HI
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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