Individual
SALLY BILODEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, CLT
Contact information
Practice address
203 S MARKET ST, WAILUKU, HI 96793-2224
(808) 344-9798
(808) 818-1118
Mailing address
1380 HALIIMAILE RD, ATTN: SALLY BILODEAU, MAKAWAO, HI 96768-9618
(808) 344-9798
(808) 818-1118
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-65468
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95031293
CALIFORNIA BOARD OF REGISTERED NURSING
CA
01
—
RN-65468
HAWAII BOARD OF NURSING
HI
Enumeration date
02/06/2023
Last updated
02/06/2023
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