Colson Berry Anderson
Homemaker in Honolulu, HI. Individual provider (NPI-1).
NPI number1336728385
StatusActive
Last updated in NPPESApr 6, 2021
Details
- NPI
- 1336728385
- Entity type
- Individual (NPI-1)
- Name
- Colson Berry Anderson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 6, 2021
- Certification date
- Apr 6, 2021
- Last updated
- Apr 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | – | – | Yes |
Practice location
1822 Keeaumoku StHonolulu, HI 96822-3001
Phone 808-859-8903
Mailing address
1822 Keeaumoku StHonolulu, HI 96822-3001
Phone 808-859-8903
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