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Individual

MRS. PENNIE BUMRUNGSIRI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSC, LM, CPM

Contact information

Practice address
1801 VANCOUVER DRIVE, UNIT A, HONOLULU, HI 96822-2445
(808) 499-9591
Mailing address
1801 VANCOUVER DRIVE, UNIT A, HONOLULU, HI 96822-2445
(808) 499-9591

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW-4
HI

Other

Enumeration date
04/01/2021
Last updated
04/01/2021
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