Individual
MANISSARA VORABUTR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
92-906 WELO ST APT 84, KAPOLEI, HI 96707-1409
(951) 775-3779
Mailing address
92-906 WELO ST APT 84, KAPOLEI, HI 96707-1409
(951) 775-3779
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
88052
HI
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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