Individual
BLANDINA C MAMACLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
915 N KING ST, HONOLULU, HI 96817-4544
(808) 848-1438
(808) 843-7270
Mailing address
915 N KING ST, HONOLULU, HI 96817-4544
(808) 848-1438
(808) 843-7270
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN-119
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051863101
—
HI
Enumeration date
07/20/2006
Last updated
04/15/2015
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