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Individual

MS. PAT F. LA ROSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
94-136 KUPUOHI PL, WAIPAHU, HI 96797-1122
(808) 777-8422
Mailing address
94-136 KUPUOHI PL, WAIPAHU, HI 96797-1122
(808) 777-8422

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
9899
HI

Other

Enumeration date
06/10/2019
Last updated
06/10/2019
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