Provider Demographics
NPI:1073947370
Name:HAMADA, GLORIA KAY (DC)
Entity Type:Individual
Prefix:DR
First Name:GLORIA
Middle Name:KAY
Last Name:HAMADA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1490 HUMUWILI PL
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-3714
Mailing Address - Country:US
Mailing Address - Phone:808-222-8199
Mailing Address - Fax:
Practice Address - Street 1:407 ULUNIU ST STE 412
Practice Address - Street 2:SUITE #412
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2544
Practice Address - Country:US
Practice Address - Phone:808-222-8199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-22
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI685111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition