Individual
KORIE MIJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
56-660 KAMEHAMEHA HWY, KAHUKU, HI 96731-2210
(808) 293-7555
Mailing address
94-321 MAHINAHOU ST, MILILANI, HI 96789-2112
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-110975-0
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN-110975-0
REGISTERED LICENSE NUMBER
HI
Enumeration date
03/06/2023
Last updated
03/06/2023
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