Individual
ELSA ATIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91-845 KAPANA PL, EWA BEACH, HI 96706-2814
(808) 888-2278
(808) 888-2278
Mailing address
91-845 KAPANA PL, EWA BEACH, HI 96706-2814
(808) 888-2278
(808) 888-2278
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
HI020407159
HI
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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