Individual
JUSLYNN N OLIVERA WAMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCMA
Contact information
Practice address
239 HAILI ST, HILO, HI 96720-2928
(808) 333-4119
Mailing address
PO BOX 721, PEPEEKEO, HI 96783-0721
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
T6K3W7S7
HI
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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