Individual
JAMIE NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 476-1866
Mailing address
317 MOLO ST APT 3, KAILUA, HI 96734
(808) 254-3477
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
36443
HI
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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