Individual
MRS. LUCRECIA BAPTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91-140 HAILIPO ST, EWA BEACH, HI 96706-2346
(808) 368-4724
(808) 689-4908
Mailing address
91-140 HAILIPO ST, EWA BEACH, HI 96706-2346
(808) 368-4724
(808) 689-4908
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
5109922
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510992
MEDICARE PRIVATE/MEDICARE
HI
Enumeration date
02/11/2022
Last updated
02/11/2022
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