Individual
KRISTINE CORLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
56-117 PUALALEA ST, KAHUKU, HI 96731-2052
(808) 293-9221
(808) 293-2262
Mailing address
56-117 PUALALEA ST, KAHUKU, HI 96731-2052
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
30344
CA
1835P1200X
Pharmacotherapy Pharmacist
Primary
PH-654
HI
Other
Enumeration date
09/25/2006
Last updated
08/01/2007
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