Individual
MRS. SANDRA SHIZUE NAKAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
278 KILAUEA AVENUE, HILO, HI 96720-2948
(808) 969-7072
(808) 969-7072
Mailing address
278 KILAUEA AVENUE, HILO, HI 96720-2948
(808) 969-7072
(808) 969-7072
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
912
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000256511
HMSA
HI
01
—
0912676
UNIVERSITY HEALTH ALLIANC
HI
Enumeration date
11/16/2006
Last updated
07/08/2007
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