Individual
QUEEN VICTORIA OPOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5553 CORMORANT AVE, EWA BEACH, HI 96706-3102
(808) 499-6501
Mailing address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
(808) 944-2882
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
87074
HI
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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