Individual
DR. SANDRA BOURGETTE-HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
98-1261 KAONOHI ST, AIEA, HI 96701-2845
(808) 389-6965
Mailing address
98-1261 KAONOHI ST, AIEA, HI 96701-2845
(808) 389-6965
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-2249
HI
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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