Individual
MARLYA DUNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2056 S LAWRENCE RD, KAILUA, HI 96734-6288
(308) 539-0248
Mailing address
2056 S LAWRENCE RD, KAILUA, HI 96734-6288
(308) 539-0248
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
15067
NE
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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