Individual
MISS ANDREA KAHEALANI STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT (R)(M)
Contact information
Practice address
480 CENTRAL AVE, JBPHH, HI 96860-4908
(808) 473-1880
Mailing address
5716 BULLHEAD ST, NORTH LAS VEGAS, NV 89031-4240
(702) 509-0745
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
463602
NV
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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