Legendary Health Performance, LLC

NPI #1730877812 in Waianae, Hawaii

Provider Information

NPI Number
1730877812
Entity Type
Organization
Organization Name
Legendary Health Performance, LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Apr 27, 2023
Last Updated
Apr 27, 2023

Practice Location

Address
86-058 ALTA ST
State
Hawaii
ZIP Code
96792-3031
Phone
(808) 358-0800

Authorized Official

Name
TIFFANY JARAE WILSON-LANDRUM, PSYD
Title
LICENSED CLINICAL PSYCHOLOGIST
Phone
(808) 358-0800

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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