Tani K Ellis

Individual provider Military Health Care Provider · NPI 1033254032

Tani K Ellis is a Military Health Care Provider in Kapolei, Hawaii. Licensed in California. Registered with an NPI since 2007.

Licensed in: CA
In the registry since: 2007

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Practice location Address checks out

1 Coral Sea St Medical
Kapolei, HI 96707-3693 Not confirmed with CMS for 19 years — call before visiting
Phone: (808) 682-2673
Fax: (808) 682-2779

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military Health Care Provider (primary)	Taxonomy 171000000X (CA)

Record details

NPI number	1033254032
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	No
NPI enumerated	February 20, 2007
Last updated in NPPES	July 8, 2007