TANI K ELLIS

KAPOLEI, HI
NPI1033254032
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
Enumeration Date2007-02-20
Last Update Date2007-07-08
Business Address
-- TANI K ELLIS
1 CORAL SEA ST MEDICAL
KAPOLEI, HI 96707-3693
Phone number: 808-682-2673
Mailing Address
-- TANI K ELLIS
1 CORAL SEA ST MEDICAL
KAPOLEI, HI 96707-3693
Phone number: 808-682-2673
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