Individual
MISS WILMA GARDUQUE BATINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 MAHALANI ST, WAILUKU, HI 96793-2528
(808) 984-1250
Mailing address
609 KAULANA ST, KAHULUI, HI 96732-1950
(808) 385-0520
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
15997
HI
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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