| Taneasha E Evans, Llc | |
|
2855 E Manoa Rd Ste 105 #159 Honolulu HI 96822 | |
| (808) 305-4808 | |
| Not Available |
| Full Name | Taneasha E Evans, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2855 E Manoa Rd Ste 105 #159, Honolulu, Hawaii |
| Authorized Official Name and Position | Taneasha Evans (OWNER) |
| Authorized Official Contact | 8053044808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taneasha E Evans, Llc 2855 E Manoa Rd Ste 105 #159 Honolulu HI 96822 Ph: (808) 305-4808 | Taneasha E Evans, Llc 2855 E Manoa Rd Ste 105 #159 Honolulu HI 96822 Ph: (808) 305-4808 |
| NPI Number | 1447986096 |
|---|---|
| Provider Enumeration Date | 07/26/2022 |
| Last Update Date | 08/02/2022 |
| Certification Date | 08/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447986096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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