ELISA MIAN

HONOLULU, HI
NPI1659023455
Former NameELISA GRANT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: HI  AMD-1231)
Enumeration Date2022-01-22
Last Update Date2024-02-22
Business Address
ELISA MIAN
1301 PUNCHBOWL ST
HONOLULU, HI 96813-2499
Phone number: 808-691-1000
Mailing Address
ELISA MIAN
1301 PUNCHBOWL ST
HONOLULU, HI 96813-2499
Phone number: 808-691-1000
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