Individual
JACQUELINE TOMMILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
WAI'ANAE & AYRES AVE, WAHIAWA, HI 96786
(808) 305-8400
Mailing address
198 MOHALA PL UNIT 102, WAHIAWA, HI 96786-3337
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-90945
HI
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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