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Specialty details in registry · Aiea, HI

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At a glance

98-340 Koauka Loop, Aiea, HI 96701-4443

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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Practice location

98-340 Koauka Loop Apt.124
Aiea, HI 96701-4443

Professional details: NPI, taxonomy & registry record

NPI1275518805

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QM1100X
Enumeration date: Dec 6, 2005
Record updated: Aug 22, 2020

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QM1100X · Primary

License reported: LPN-9589 HI

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

98-340 Koauka Loop
Apt.124
Aiea, HI 96701-4443

Phone: (808) 486-1666

Mailing address

98-340 KOAUKA LOOP
APT.124
AIEA, HI 967014443

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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