Individual
LORRAINE DORMINTES BASOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1515 DEMENT ST, HONOLULU, HI 96819-4109
(808) 745-8741
Mailing address
1515 DEMENT ST, HONOLULU, HI 96819-4109
(808) 745-8741
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN-87963
HI
Other
Enumeration date
12/09/2017
Last updated
12/09/2017
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