Individual
MISS SHIERALYN P. BALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-945 LUMILOKE ST, WAIPAHU, HI 96797-3947
(808) 671-1351
(808) 671-1351
Mailing address
94-945 LUMILOKE ST, WAIPAHU, HI 96797-3947
(808) 671-1351
(808) 671-1351
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
W04530192-01
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
W04530192-01
—
HI
Enumeration date
04/26/2010
Last updated
04/26/2010
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