Individual
MARIYA OPANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
98-1079 MOANALUA RD STE 300, AIEA, HI 96701-4722
(808) 485-4120
Mailing address
888 S KING ST, HONOLULU, HI 96813-3097
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
21079
HI
390200000X
Student in an Organized Health Care Education/Training Program
MDR 6640
HI
Other
Enumeration date
04/15/2014
Last updated
01/09/2023
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