Individual
ERLINDA D ORTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCFFH OPERATOR
Contact information
Practice address
91-1060 HAMANA ST, EWA BEACH, HI 96706-3938
(808) 421-8080
Mailing address
91-1060 HAMANA ST, EWA BEACH, HI 96706-3938
(808) 421-8080
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
511289
HI
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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