Individual
GLADYS VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91-928 MAILANI ST, EWA BEACH, HI 96706-2255
(808) 683-6484
Mailing address
91-928 MAILANI ST, EWA BEACH, HI 96706-2255
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
72256
HI
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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