Individual
ANNA W AMIGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 PAKAULA ST, KAHULUI, HI 96732-3508
(808) 871-7104
(808) 871-7812
Mailing address
101 PAKAULA ST, KAHULUI, HI 96732-3508
(808) 871-7104
(808) 871-7812
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DIO521
HI
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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