Individual
TAETAFE NAEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 WARD AVE STE 219B, HONOLULU, HI 96814-4003
(808) 729-0904
Mailing address
87-148 GILIPAKE ST, WAIANAE, HI 96792-3129
(808) 729-0904
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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