Individual
MISS SUSAN CABANILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(808) 433-0256
Mailing address
91-1141 KAMAAHA LOOP UNIT 4D, KAPOLEI, HI 96707-1976
(240) 273-5786
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
101650
HI
Other
Enumeration date
04/20/2024
Last updated
04/20/2024
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