Individual
MRS. DOREEN ANN DETUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
KAUAI COMMUNITY MENTAL HEALTH CENTER, 3 3212 KUHIO HWY, LIHUE, HI 96766-1142
(808) 274-3190
(808) 274-3194
Mailing address
KAUAI COMMUNITY MENTAL HEALTH CENTER, 3 3212 KUHIO HWY, LIHUE, HI 96766-1142
(808) 274-3190
(808) 274-3194
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-56769
HI
Other
Enumeration date
08/26/2006
Last updated
07/08/2007
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