Individual
NORMA BAJET MANZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCFFH
Contact information
Practice address
404 MALAMALAMA ST, KAPOLEI, HI 96707-2094
(808) 651-4017
(808) 200-0056
Mailing address
404 MALAMALAMA ST, KAPOLEI, HI 96707-2094
(808) 651-4017
(808) 200-0056
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
1-190014
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GE-212-818-7904-01
—
HI
Enumeration date
06/12/2019
Last updated
06/12/2019
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