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Individual

MISS KRYSTAL ASHLEY GRAY MANUEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3501 RICE ST STE 2022, LIHUE, HI 96766-1757
(808) 755-5056
Mailing address
5263 LAUKONA ST, LIHUE, HI 96766-9323
(808) 639-5884

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-91883
HI

Other

Enumeration date
10/15/2021
Last updated
10/17/2021
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