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Individual

ASHLEY ILUSTRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4-1579 KUHIO HWY STE 207, KAPAA, HI 96746-1859
(808) 470-7970
Mailing address
5581 HAUAALA RD # B, KAPAA, HI 96746-2280
(808) 635-2241

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
75521
HI
363LF0000X
Family Nurse Practitioner
Primary
APRN-4691
HI

Other

Enumeration date
08/07/2024
Last updated
08/07/2024
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