Individual
JILL MARI NAGAFUCHI GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
MCBH KANEOHE BAY BRANCH HEALTH CLINIC, D ST #3089, KAILUA, HI 96734
(808) 257-5041
Mailing address
134 E MISTLETOE AVE, SAN ANTONIO, TX 78212-3407
(210) 223-1100
(866) 208-9875
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN44552
HI
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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