Individual
MS. JEANMARIE ROSE THEINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
460 KILAUEA AVE, SUITE 100, HILO, HI 96720-3084
(808) 315-0909
Mailing address
33 ULUWAI ST, HILO, HI 96720-1920
(909) 933-2442
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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