Individual
TIFFANY R ABRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4105 COLEGROVE ST, HONOLULU, HI 96818-6251
(720) 495-1036
Mailing address
4105 COLEGROVE ST, HONOLULU, HI 96818-6251
(720) 495-1036
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LP-57841
WA
164W00000X
Licensed Practical Nurse
Primary
LPN-19247
HI
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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