Individual
MRS. ESMERALDA PROSKURENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
41-1347 KALANIANAOLE HWY, WAIMANALO, HI 96795-1247
(910) 916-1209
Mailing address
2624 BORDELON LOOP APT D, KAILUA, HI 96734-5409
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
15816
HI
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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