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Tani K Ellis
Military Health Care Provider in Kapolei, Hawaii
NPI 1033254032

Tani K Ellis is a Military Health Care Provider based in Kapolei, HI. Tani K Ellis practices in Kapolei, HI. The NPI Number for Tani K Ellis is 1033254032 and holds a License No. (Hawaii).

The current practice location address for Tani K Ellis is 1 Coral Sea St, Kapolei, HI and can be reached out via phone at 808-682-2673 and via fax at 808-682-2779.

Location: 1 Coral Sea St, Kapolei, HI, 96707-3693
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033254032
Provider Name
Tani K Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Coral Sea St, Kapolei, HI, 96707-3693
Phone Number
808-682-2673
Fax Number
808-682-2779
Provider Enumeration Date
02/20/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1 Coral Sea St
City
Kapolei
State
Hawaii
Zip
96707-3693
Phone Number
808-682-2673
Fax Number
808-682-2779
person
Provider Business Mailing Address Details
Address
1 Coral Sea St
City
Kapolei
State
Hawaii
Zip
96707-3693
Phone Number
808-682-2673
Fax Number
808-682-2779
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
(California)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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