Individual
MRS. ANDREA MARIE TAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3140 WAIALAE AVE, HONOLULU, HI 96816-1578
(808) 735-4711
Mailing address
55-415 KAMEHAMEHA HWY # A, LAIE, HI 96762-1115
(701) 340-1146
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/30/2025
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