Individual
SHANTELLE CALIBOSO BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
WHEELER ARMY FIELD, WAHIAWA, HI 96786
(808) 305-9000
Mailing address
94-954 LUMIHOAHU ST, WAIPAHU, HI 96797-3955
(808) 681-2514
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
82732
HI
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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