Individual
MRS. HEATHER LORRAINE FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1253 MAKALAPA GATE RD, PEARL HARBOR, HI 96860-4479
(888) 683-2778
Mailing address
1253 MAKALAPA GATE RD, PEARL HARBOR, HI 96860-4479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-101313
HI
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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