Individual
ALYSSANDRA NAZARENO BANIQUED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
98-1005 MOANALUA RD SPC 3030, AIEA, HI 96701-4735
(808) 284-9797
Mailing address
98-1005 MOANALUA RD SPC 3030, AIEA, HI 96701-4735
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MDR-8492-0
HI
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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