Amanda Jo Shaw, P.A.

NPI #1194074815 in Wailuku, Hawaii

Provider Information

NPI Number: 1194074815
Entity Type: Individual
Name: Amanda Jo Shaw, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Sep 10, 2012
Last Updated: Mar 27, 2018

Practice Location

Address: 2180 MAIN ST
City: Wailuku
State: Hawaii
ZIP Code: 96793-1625
Phone: (808) 242-6464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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