Individual
MRS. MARIANELA RUIZ JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
98-025 HEKAHA ST STE 4, BLDG 4, AIEA, HI 96701-4904
(808) 488-9449
Mailing address
98-025 HEKAHA ST SUITE 4, BLDG 4, AIEA, HI 96701
(808) 488-9449
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1470
HI
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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