NPI 1891589016

Ezra Imipono Sheridan

Practitioner Rehabilitation Counselor Kahuku, HI

Practice location

Address: 56-660 Kamehameha Hwy, Kahuku, HI 96731-2210
Phone: (877) 393-7555
Mailing address: 59-448 Kamehameha Hwy, Haleiwa, HI 96712-9624

Registered specialties

Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X

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Registry record

NPI: 1891589016
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Apr 2025
Record last updated: 4 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.