Individual
RENEE MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
480 CENTRAL AVE, NAVAL HEALTH CLINIC HAWAII, PEARL HARBOR, HI 96860-4908
(808) 474-4242
Mailing address
51 BETIO PL, HONOLULU, HI 96818-3101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001155533
VA
163W00000X
Registered Nurse
3281302
FL
163W00000X
Registered Nurse
708711
CA
163W00000X
Registered Nurse
Primary
74534
HI
Other
Enumeration date
07/03/2015
Last updated
07/03/2015
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