Lena Azama, NDTR
Dietetic Technician, Registered in Waipahu, HI. Individual provider (NPI-1).
NPI number1477179901
StatusActive
Last updated in NPPESJun 20, 2020
Details
- NPI
- 1477179901
- Entity type
- Individual (NPI-1)
- Name
- Lena Azama
- Credential
- NDTR
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2020
- Certification date
- Jun 20, 2020
- Last updated
- Jun 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 136A00000X | Dietetic Technician, Registered | 86174403 | HI | Yes |
Practice location
94-820 Lumiauau St Apt E201Waipahu, HI 96797-6802
Phone 207-318-1422
Mailing address
94-820 Lumiauau St Apt E201Waipahu, HI 96797-6802
Phone 207-318-1422
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