Provider Demographics
NPI:1942407325
Name:NARIMASU-PHOMENONE, ANN N (AUD)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:N
Last Name:NARIMASU-PHOMENONE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2226 LILIHA ST STE 410
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1668
Mailing Address - Country:US
Mailing Address - Phone:808-524-1432
Mailing Address - Fax:808-524-1338
Practice Address - Street 1:2226 LILIHA ST STE 410
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1668
Practice Address - Country:US
Practice Address - Phone:808-524-1432
Practice Address - Fax:808-524-1338
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2021-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2517231H00000X
HI120231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist