Individual
MRS. CAROLINE MARIE CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1253 MAKALAPA GATE RD, PEARL HARBOR, HI 96860-4479
(808) 473-1880
Mailing address
1253 MAKALAPA GATE RD, PEARL HARBOR, HI 96860-4479
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/07/2021
Last updated
08/07/2021
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