Individual
MS. LEONA LEINANI MCCLURE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
480 CENTRAL AVE, NAVAL HEALTH CLINIC HAWAII, PEARL HARBOR, HI 96860-4908
(808) 472-1880
Mailing address
92-6059 HOLOMOKU ST, KAPOLEI, HI 96707-2822
(808) 672-7883
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
15145
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SO929919
DRIVERS LICENSE
CA
Enumeration date
01/05/2006
Last updated
07/08/2007
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