Individual
SHANELLE C BAXA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2115 GERTZ LN APT A, HONOLULU, HI 96819-4176
(808) 497-1797
Mailing address
PO BOX 893893, MILILANI, HI 96789-0893
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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