Individual
ANITA G ISHAQ-JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
99-128 AIEA HEIGHTS DR STE 703, AIEA, HI 96701-3978
(808) 487-7938
Mailing address
91-1398 HALILI ST, EWA BEACH, HI 96706-6538
(281) 409-8017
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/29/2018
Last updated
11/09/2018
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