Organization Name: | NONE |
NPI Number: | 1689056350 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIANA ROSE L AHUE (STUDENT) |
Mailing Address: | 58-290 Kamehameha Hwy Haleiwa |
State: | HI US |
Postal Code: | 967129716 |
Phone Number: | 8082230936 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2015 |
NPI Last Update Date: | 06/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |