MARYAM KHAYAMI GOCA
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1114318409- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 128 LEHUA ST, WAHIAWA, HI, 96786
- Phone
- (808) 621-4355
Specialties & Taxonomies
Physician Assistant, Medical
License: FL #PA9108560
Physician Assistant
Primary License: HI #AMD-750