Alyssa Marie Tagata

NPI #1295399103 in Ewa Beach, Hawaii

Provider Information

NPI Number
1295399103
Entity Type
Individual
Name
Alyssa Marie Tagata
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Apr 25, 2019
Last Updated
Apr 25, 2019

Practice Location

Address
91-213 KAIELEELE PL
State
Hawaii
ZIP Code
96706-4617
Phone
(808) 238-9011

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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