Individual
GLADY MAE EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-207 WAIPAHU ST APT 295, WAIPAHU, HI 96797-2014
(702) 525-9245
Mailing address
94-207 WAIPAHU ST APT 295, WAIPAHU, HI 96797-2014
(702) 525-9245
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
91779
HI
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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