Individual
MRS. KRISTIN VIRGINIA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
480 CENTRAL AVE, ATTN MEDICAL STAFF SERVICES PROF- RM218, J B P H H, HI 96860-4908
(808) 471-1866
(808) 471-0918
Mailing address
480 CENTRAL AVE, ATTN MEDICAL STAFF SERVICES PROF- RM218, JBPHH, HI 96860-4908
(808) 471-1866
(808) 471-0918
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
543277
CA
163WP2201X
Ambulatory Care Registered Nurse
RN-68819
HI
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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