Individual
ROENA FERMANTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45-691 KEAAHALA RD, KANEOHE, HI 96744-3569
(808) 233-3775
(808) 233-3779
Mailing address
1700 LANAKILA AVE, HONOLULU, HI 96817-2115
(808) 832-3823
(808) 832-5850
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN-15225
HI
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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