Individual
ALYSSA QUINQUILERIA JARAVATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3627 KILAUEA AVE RM 101, HONOLULU, HI 96816-2317
(808) 733-4208
Mailing address
3747A PUKALANI PL, HONOLULU, HI 96816-3813
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
HI
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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