Individual
IVY PAZ DAEL QUINANOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95-1084 INANA ST, MILILANI, HI 96789-5534
(808) 386-4445
Mailing address
95-1084 INANA ST, MILILANI, HI 96789-5534
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-55821
HI
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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