Individual
LOUISE BELLE TEOFILA GREENCORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91-1010 KAIMALIE ST APT S2, EWA BEACH, HI 96706-5040
(808) 358-0120
Mailing address
91-1010 KAIMALIE ST APT S2, EWA BEACH, HI 96706-5040
(808) 358-0120
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-65375
HI
363LF0000X
Family Nurse Practitioner
Primary
APRN-2599
HI
Other
Enumeration date
11/20/2018
Last updated
01/04/2019
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