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Individual

JENNIFER BLISS JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1384 AUPUPU ST, KAILUA, HI 96734-4123
(518) 225-9633
Mailing address
1384 AUPUPU ST, KAILUA, HI 96734-4123
(518) 225-9633

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
93851
HI

Other

Enumeration date
03/11/2021
Last updated
03/11/2021
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