Individual
MEILANI FERNANDEZ BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-971 LUMIMOE ST, WAIPAHU, HI 96797-3949
(808) 221-8773
Mailing address
94-971 LUMIMOE ST, WAIPAHU, HI 96797-3949
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
45803
HI
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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