Individual
TEODORA JIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3440 LEAHI AVE, HONOLULU, HI 96815-4235
(808) 733-4999
Mailing address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
(808) 944-2882
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
7267
HI
Other
Enumeration date
04/23/2019
Last updated
05/13/2019
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