# ARMY NATIONAL GUARD MEDICAL COMMAND

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861528317
- **Authorized official:** MRS. JANET GRACE LUNDBERG RN (REGISTERED NURSE)
- **Authorized official phone:** (808) 224-8898

## Contact information

- **Practice address:** 89-202 WAIEA PL, WAIANAE, HI 96792-4144
- **Practice address phone:** (808) 224-8898
- **Mailing address:** 89-202 WAIEA PL, WAIANAE, HI 96792-4144
- **Mailing address phone:** (808) 224-8898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 374T00000X | Religious Nonmedical Nursing Personnel | 36905 | HI | Yes |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 08/22/2020