Individual
MARIAH ESPANIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70 KUNIHI LN APT 433, KAHULUI, HI 96732-1384
(808) 495-5413
Mailing address
70 KUNIHI LN APT 433, KAHULUI, HI 96732-1384
(808) 495-5413
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122813
CAMHD WRAPAROUND CARE COORDINATOR
HI
Enumeration date
09/30/2019
Last updated
09/30/2019
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