Individual
MARY JANE DELA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-1336 HUAKAI ST, WAIPAHU, HI 96797-3839
(808) 676-4551
(808) 676-4551
Mailing address
94-1336 HUAKAI ST, WAIPAHU, HI 96797-3839
(808) 676-4551
(808) 676-4551
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
1631300
HI
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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