Individual
MS. AGNES GALICIA MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 471-1866
Mailing address
95-1039 AAHU ST, MILILANI, HI 96789-6519
(808) 626-5641
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN-47060
HI
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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