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Individual

JENA CHRISTINE UVALLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
79-1019 HAUKAPILA ST, KEALAKEKUA, HI 96750-7920
(304) 243-3880
(304) 243-3895
Mailing address
73-4504 KOHANAIKI RD, KAILUA KONA, HI 96740-9203
(808) 494-8094

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61461121
WA
207R00000X
Internal Medicine Physician
DOS2050
HI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/23/2017
Last updated
11/04/2024
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