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Contact Information

JESSICA S MENDONSA, PA-C
2120 KAOHU ST
WAILUKU, HI96793-2205
 Phone: 808-377-4734
 Fax: 808-377-4734
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Health Educator

174H00000X
Indicates primary specialty

NPI Profile & details for JESSICA S MENDONSA · (Female)

NPI # 1124458930
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/14/2013
Last updated 01/27/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • HI License # AMD588
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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