Individual
MRS. MERYLL KATHLEEN VIGILLA DADULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-1285 HUAKAI ST, WAIPAHU, HI 96797-3838
(808) 729-0208
Mailing address
94-1285 HUAKAI ST, WAIPAHU, HI 96797-3838
(808) 729-0208
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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