Dwaine William Tait MA

NPI 1619201738 - Counselor - 101YM0800X

NPI Details
NPI 1619201738
Gender Male
Enumeration Date 09/22/2009
Last Updated 09/22/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
77 MOHOULI ST
HILO HI, 96720-4181, US
Phone (808) 961-5166
Fax
Business Location
77 MOHOULI ST
HILO HI, 96720-4181, US
Phone
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Dwaine William Tait MA NPI is 1619201738, taxonomy code is 101YM0800X Dwaine William Tait MA physically located at 77 Mohouli St, Hilo HI, 96720-4181. NPI Number Dwaine William Tait MA has the Individual type.

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1619201738 NPI number is provided on an as is basis without warranty of any kind. 1619201738 is maintained by the National Plan & Provider Enumeration System. The contents of Dwaine William Tait MA are for informational purposes only.