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Individual

MRS. NANCY MODUMO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
91-1088 KAUNOLU ST, EWA BEACH, HI 96706-2823
(808) 232-9202
(808) 689-4727
Mailing address
91-1088 KAUNOLU ST, EWA BEACH, HI 96706-2823
(808) 232-9202
(808) 689-4727

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
H1020412221
HI

Other

Enumeration date
10/09/2024
Last updated
10/09/2024
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