Individual
MRS. VICTORIA MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1564B WANAAO RD, KAPAA, HI 96746-2633
(808) 822-3829
Mailing address
1564B WANAAO RD, KAPAA, HI 96746-2633
(808) 822-3829
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN 933
HI
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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