| Halona Tanner Llc | |
|
46-005 Kawa St Suite 304 Kaneohe HI 96744-3805 | |
| (808) 282-1081 | |
| (808) 239-9493 |
| Full Name | Halona Tanner Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 46-005 Kawa St, Kaneohe, Hawaii |
| Authorized Official Name and Position | Halona W Tanner (SOLE PROPRIETOR) |
| Authorized Official Contact | 8082821081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Halona Tanner Llc 46-005 Kawa St Suite 304 Kaneohe HI 96744-3805 Ph: (808) 282-1081 | Halona Tanner Llc 46-005 Kawa St Suite 304 Kaneohe HI 96744-3805 Ph: (808) 282-1081 |
| NPI Number | 1386963189 |
|---|---|
| Provider Enumeration Date | 05/19/2010 |
| Last Update Date | 01/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386963189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PSY-1020 (Hawaii) | Primary |
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