MALIA RUSSO

HONOLULU, HI
NPI1417446402
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: HI  AMD1425)
Enumeration Date2018-05-04
Last Update Date2026-03-05
Business Address
MALIA RUSSO
1401 S BERETANIA ST STE 102
HONOLULU, HI 96814-1871
Phone number: 808-356-5699
Mailing Address
MALIA RUSSO
2324 KAALA ST
HONOLULU, HI 96822-2201
Phone number: 702-501-1848
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