| Alyssa Marie Tagata, | |
|
91-213 Kaieleele Pl, Ewa Beach, HI 96706-4617 | |
| (808) 238-9011 | |
| Not Available |
| Full Name | Alyssa Marie Tagata |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 91-213 Kaieleele Pl, Ewa Beach, Hawaii |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295399103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 18962 (Hawaii) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssa Marie Tagata, 91-213 Kaieleele Pl, Ewa Beach, HI 96706-4617 Ph: (808) 238-9011 | Alyssa Marie Tagata, 91-213 Kaieleele Pl, Ewa Beach, HI 96706-4617 Ph: (808) 238-9011 |
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› Verified 4 days ago
Michele Nani Alii Theis, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 91-1980 Luahoana St, Ewa Beach, HI 96706 Phone: 808-371-3363 |