Individual
HEATHER SUZANNE ASTUMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 ALA MOANA BLVD APT 1401B, HONOLULU, HI 96815-1348
(720) 660-5293
(877) 436-3472
Mailing address
1720 ALA MOANA BLVD APT 1401B, HONOLULU, HI 96815-1348
(720) 660-5293
(877) 436-3472
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
19220
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19220
LICENSE
HI
Enumeration date
07/01/2018
Last updated
07/01/2018
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