Individual
PHYLLIS LARAISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
280 HOME OLU PLACE, KAUNAKAKAI, HI 96748
(808) 553-3145
(808) 553-3163
Mailing address
PO BOX 408, KAUNAKAKAI, HI 96748-0408
(808) 553-3145
(808) 553-3163
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APRN-140
HI
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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