Individual
SARA NELSON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56-660 KAMEHAMEHA HWY, KAHUKU, HI 96731-2210
(877) 393-7555
Mailing address
56-660 KAMEHAMEHA HWY, KAHUKU, HI 96731-2210
(877) 393-7555
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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