| Kristi Tanaka Llc | |
|
45-270 William Henry Rd Ste 207 Kaneohe HI 96744-5808 | |
| (808) 379-3031 | |
| Not Available |
| Full Name | Kristi Tanaka Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 45-270 William Henry Rd Ste 207, Kaneohe, Hawaii |
| Authorized Official Name and Position | Kristi Tanaka (OWNER) |
| Authorized Official Contact | 8083740094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristi Tanaka Llc 21739 Hardy Oak Blvd Apt 6307 San Antonio TX 78258-2381 Ph: (808) 220-8044 | Kristi Tanaka Llc 45-270 William Henry Rd Ste 207 Kaneohe HI 96744-5808 Ph: (808) 379-3031 |
| NPI Number | 1326890708 |
|---|---|
| Provider Enumeration Date | 04/01/2024 |
| Last Update Date | 04/01/2024 |
| Certification Date | 04/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326890708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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