IndividualActive
Amanda Larson, IDC
NPI 1487955316 · Independent Duty Corpsman · Wahiawa, HI
Provider details
- NPI number
- 1487955316
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
500 Center St
Building 22
Wahiawa, HI 96786-3007
Phone: (228) 760-0296
Approximate (ZIP-level) locationGet directions
Mailing address
500 Center St
Wahiawa, HI 96786-3007
Registry dates
- Enumerated
- 2010-11-09
- Last updated
- 2014-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.