Individual
STACY LINA BALANCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
92-461 MAKAKILO DR, KAPOLEI, HI 96707-1270
(808) 696-8817
Mailing address
92-461 MAKAKILO DR, KAPOLEI, HI 96707-1270
(808) 696-8817
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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