Taylor Makana Surprise, PA

NPI #1255893301 in Kahului, Hawaii

Provider Information

NPI Number: 1255893301
Entity Type: Individual
Name: Taylor Makana Surprise, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Apr 5, 2019
Last Updated: Jun 15, 2021

Practice Location

Address: 165 MAA ST
City: Kahului
State: Hawaii
ZIP Code: 96732-3603
Phone: (808) 446-7120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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