Individual
RYAN ELIZABETH SENSECQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
78-6831 ALII DR, KAILUA KONA, HI 96740-2495
(808) 747-8321
Mailing address
77-6431 KILOHANA ST UNIT MAIN, KAILUA KONA, HI 96740-7900
(239) 823-1004
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DOS-2125
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
03/05/2013
Last updated
03/31/2021
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