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Individual

IRIS KIMIE TOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
98-023 HEKAHA ST STE 1, AIEA, HI 96701-4902
(808) 422-2802
(808) 484-9076
Mailing address
1139 WANAKA ST, HONOLULU, HI 96818-2836
(808) 428-0306

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-35749
HI

Other

Enumeration date
06/06/2016
Last updated
06/06/2016
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