Individual
MICHELE NANI ALII THEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91-1980 LUAHOANA ST, EWA BEACH, HI 96706-5909
(808) 371-3363
Mailing address
91-1980 LUAHOANA ST, EWA BEACH, HI 96706-5909
(808) 371-3363
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
14037
HI
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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