Individual
HEIDI ILYAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77-6421 PUALANI ST, KAILUA KONA, HI 96740-9768
(847) 224-3223
Mailing address
PO BOX 2697, KAMUELA, HI 96743-2697
(808) 436-4547
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
HI
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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