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>> Nursing Home Administrator >> Nursing Service Related Providers

Registrant NPI Number: 1801213178

Individual Registrant:
Gender: F
Sole Proprietor

Location and contact information for practice:
Tel: 808-982-7828  Fax: 808-982-7822

Contact information for business:
PO BOX 7014  HILO, HI 96720-8937 US
Tel: 808-982-7828  Fax: 808-982-7822

Registration Information:
NPI: 1801213178
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y376G00000XNursing Service Related Providers
Nursing Home Administrator

Legacy codes, insurance codes and state license numbers:



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