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Individual

ELVAH BLISS MABALOT MIRANDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
94-1018 KALOLI LOOP, WAIPAHU, HI 96797-5409
(808) 594-9132
Mailing address
94-1018 KALOLI LOOP, WAIPAHU, HI 96797-5409

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
05/03/2018
Last updated
05/03/2018
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