Provider Demographics
NPI:1548723752
Name:YAP, PAULINE (DVM)
Entity type:Individual
Prefix:DR
First Name:PAULINE
Middle Name:
Last Name:YAP
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95-390 KUAHELANI AVE STE 1D
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-1182
Mailing Address - Country:US
Mailing Address - Phone:808-623-7387
Mailing Address - Fax:
Practice Address - Street 1:95-390 KUAHELANI AVE STE 1D
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-1182
Practice Address - Country:US
Practice Address - Phone:808-623-7387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-13
Last Update Date:2019-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI379405300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes405300000XOther Service ProvidersPrevention Professional