Individual
MARY JHANE ABUTAN LAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-460 AWAMOI ST, WAIPAHU, HI 96797-1608
(808) 680-0307
Mailing address
94-460 AWAMOI ST, WAIPAHU, HI 96797-1608
(808) 680-0307
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
HI020416270
HI
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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