Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 6890 | HI |
NPI | 1649367962 |
---|---|
Provider Name | Dr. Mary May Z. Ablan |
First Address | Ewa Beach, HI 96706-3607 |
Second Address | Ewa Beach, HI 96706-3607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
08113-3 | (05) | HI |