Individual
KEANNA W ALLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91-1515 KAIKOHOLA ST, EWA BEACH, HI 96706-6517
(180) 872-1020
Mailing address
91-1515 KAIKOHOLA ST, EWA BEACH, HI 96706-6517
(180) 872-1020
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-79107
HI
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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