Individual
TIFFANI MAMUAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1313 NOELANI ST, PEARL CITY, HI 96782-2128
(808) 397-4557
Mailing address
1313 NOELANI ST, PEARL CITY, HI 96782-2128
(808) 397-4557
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
91204
HI
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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