Most Relevant Information
Provider Data
| NPI Number: | 1003536855 |
| Provider Name: | DANIELA NICOLE LAIRD PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/31/2022 |
| Last Updated: | 09/27/2023 |
Provider Practice Location
67-1125 MAMALAHOA HWY
KAMUELA
HI
967438496
Practice Location Phone/Fax
| Phone: | 8088854444 |
| Fax: | 8088814404 |
Provider Mailing Location
PO BOX 1266
KAILUA
HI
967341266
Provider Mailing Phone/Fax
| Phone: | 8082637202 |
| Fax: | 8082634604 |