Provider Demographics
NPI:1457575763
Name:CAIRES, FRANCE ANNIE
Entity Type:Individual
Prefix:MS
First Name:FRANCE
Middle Name:ANNIE
Last Name:CAIRES
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 1:600 KAILUA RD
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2865
Mailing Address - Country:US
Mailing Address - Phone:808-262-4325
Mailing Address - Fax:
Practice Address - Street 1:600, KAILUA RD. #204
Practice Address - Street 2:#204
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96795
Practice Address - Country:US
Practice Address - Phone:808-262-4325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI3533171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor