Individual
JENNIFER SUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
480 CENTRAL AVE, JBPHH, HI 96860-4908
(210) 454-1546
Mailing address
2411 KINI PL, HONOLULU, HI 96819-2650
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
66226
HI
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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