Individual
JEAN PRIETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91-102 AKEKEE PL, EWA BEACH, HI 96706-3920
(808) 681-6358
(808) 681-6819
Mailing address
91-102 AKEKEE PL, EWA BEACH, HI 96706-3920
(808) 681-6358
(808) 681-6819
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
3112ZA0620X
HI
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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