Individual
MRS. JANIS MARDONADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
3-3204 KUHIO HWY STE 104, LIHUE, HI 96766-1135
(808) 274-3883
Mailing address
5839 WAIPOULI RD, KAPAA, HI 96746-8821
(808) 274-3883
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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