Individual
JENELYN LAFORGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-502 PILIMAI ST, WAIPAHU, HI 96797-1627
(808) 678-8446
Mailing address
94-502 PILIMAI ST, WAIPAHU, HI 96797-1627
(808) 678-8446
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
825573
—
HI
Enumeration date
06/05/2021
Last updated
06/05/2021
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