Individual
MRS. NORWENA BACUD VISITACION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
1975 KAKU ST, LIHUE, HI 96766-9079
(808) 639-2029
(808) 378-4652
Mailing address
1975 KAKU ST, LIHUE, HI 96766-9079
(808) 639-2029
(808) 378-4652
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
5-150013
HI
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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