Individual
TRINA GAYLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(808) 433-7722
Mailing address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(808) 433-7722
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN75050
HI
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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