Individual
ERVIN AUDREY H ANDALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
966 PROSPECT ST, HONOLULU, HI 96822-3418
(808) 541-7541
Mailing address
966 PROSPECT ST, HONOLULU, HI 96822-3418
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
21529
HI
Other
Enumeration date
06/26/2026
Last updated
06/26/2026
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