Individual
JESSICA CLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95-180 IHUKU PL, MILILANI, HI 96789-1008
(808) 232-1114
Mailing address
95-180 IHUKU PL, MILILANI, HI 96789-1008
(808) 232-1114
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
19778
HI
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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