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Individual

MARIA CORAZON BORJA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1 JARRETT WHITE RD, TAMC, HI 96859-5001
(808) 433-5736
Mailing address
1 JARRETT WHITE RD, TAMC, HI 96859-5001
(808) 433-5736

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
15159
HI

Other

Enumeration date
11/09/2005
Last updated
07/08/2007
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