Provider Demographics
NPI:1073386892
Name:CABRAL, CHASITY KE MAKANA O NALANI
Entity Type:Individual
Prefix:
First Name:CHASITY
Middle Name:KE MAKANA O NALANI
Last Name:CABRAL
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 1:1130 N NIMITZ HWY RM C210
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-6514
Mailing Address - Country:US
Mailing Address - Phone:808-838-7752
Mailing Address - Fax:
Practice Address - Street 1:1130 N NIMITZ HWY RM C210
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-6514
Practice Address - Country:US
Practice Address - Phone:808-838-7752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist