Individual
DEIDAMIA ADELINA MONFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-2040
Mailing address
95-230 HAALILO PL, MILILANI, HI 96789-6573
(808) 342-8528
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-2670
HI
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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