Provider Demographics
NPI:1033415401
Name:HO, PUI LIN
Entity Type:Individual
Prefix:MRS
First Name:PUI LIN
Middle Name:
Last Name:HO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95-782 WIKAO ST APT N204
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-5089
Mailing Address - Country:US
Mailing Address - Phone:808-218-5323
Mailing Address - Fax:
Practice Address - Street 1:95-782 WIKAO ST APT N204
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-5089
Practice Address - Country:US
Practice Address - Phone:808-218-5323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIW30832340-01332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies