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Individual

ANGELINA ALBA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
808 POAI PL, KAHULUI, HI 96732-2646
(808) 868-1507
(808) 214-6667
Mailing address
808 POAI PL, KAHULUI, HI 96732-2646
(808) 868-1507
(808) 214-6667

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
4-22059
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4-220059
COMTIES OF AMERICA
HI
Enumeration date
09/27/2022
Last updated
09/27/2022
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