Individual
ANNA CAMILLE HOUSEHOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
417 KUUPAU ST, KAPOLEI, HI 96707-2093
(808) 226-2826
Mailing address
417 KUUPAU ST, KAPOLEI, HI 96707-2093
(808) 226-2826
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
87440
HI
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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