Individual
MARINELLIE BRACEROS MALVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91-1580 WAHANE ST, KAPOLEI, HI 96707-3107
(808) 647-3689
(808) 680-9135
Mailing address
91-1580 WAHANE ST, KAPOLEI, HI 96707-3107
(808) 647-3689
(808) 680-9135
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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