Individual
JENNIFER VEIGA BANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3270 WAIALAE AVE, HONOLULU, HI 96816-5836
(808) 732-4377
Mailing address
1646 KELIIPONI LN, WAHIAWA, HI 96786-7080
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
020.017018
IL
124Q00000X
Dental Hygienist
Primary
2284
HI
Other
Enumeration date
07/20/2024
Last updated
07/20/2024
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