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Organization

RONG RONG ENTERPRISE L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER DEPRY PSY.D. (CEO)
(808) 783-2468
Entity
Organization

Contact information

Practice address
377 KEAHOLE STREET, E211-D, HONOLULU, HI 96825-0868
(808) 783-2468
Mailing address
92-1001 ALIINUI DR, 28C, KAPOLEI, HI 96707-2250
(808) 783-2468

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1235243981
NPI-INDIVIDUAL
HI
Enumeration date
07/18/2015
Last updated
07/18/2015
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