Individual
MARITEL TINAZA ANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-1190 LUMIKULA ST, WAIPAHU, HI 96797-3943
(808) 782-1381
(808) 888-7808
Mailing address
94-1190 LUMIKULA ST, WAIPAHU, HI 96797-3943
(808) 782-1381
(808) 888-7808
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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