Individual
VANESSA MAE MUYCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-564 KUPUNA LOOP, WAIPAHU, HI 96797-1242
(808) 429-2829
Mailing address
94-564 KUPUNA LOOP, WAIPAHU, HI 96797-1242
(808) 429-2829
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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