Individual
MRS. TOMAO LUU ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
98-1079 MOANALUA RD STE 620, AIEA, HI 96701-4716
(808) 486-7775
Mailing address
98-1079 MOANALUA RD STE 620, AIEA, HI 96701-4716
(808) 486-7775
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AMD757
HI
Other
Enumeration date
07/04/2006
Last updated
06/17/2020
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