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Individual

GLORIA SAMPAIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
37 KEKAULIKE ST, HILO, HI 96720-2462
(808) 974-4300
(808) 974-4310
Mailing address
126 UALEHUA ST, HILO, HI 96720-1837
(808) 934-9659

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN - 7196
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
539372-15
HI
Enumeration date
02/16/2007
Last updated
07/09/2007
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