Individual
JOANNA UDASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91-1360 KARAYAN ST, EWA BEACH, HI 96706-1985
(808) 681-1200
Mailing address
91-1360 KARAYAN ST, EWA BEACH, HI 96706-1985
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
75591
HI
Other
Enumeration date
08/26/2019
Last updated
03/01/2022
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