Individual
KSIZLE ULANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-706 KAAOKI PL, WAIPAHU, HI 96797-1211
(808) 200-7681
Mailing address
94-706 KAAOKI PL, WAIPAHU, HI 96797-1211
(808) 200-7681
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
I-220095
HI
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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