Individual
RUBY ARLENE BOLIBOL BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91-1051 FRANKLIN D. ROOSEVELT AVE, KAPOLEI, HI 96707
(808) 458-5065
Mailing address
1176 CATALINA DR, HONOLULU, HI 96818-5079
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
814172
NV
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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