Individual
MRS. ROXAN JUNA LEE SIMON MANZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
94-530 KOALEO ST, WAIPAHU, HI 96797-1634
(808) 352-2652
(808) 517-4251
Mailing address
94-530 KOALEO ST, WAIPAHU, HI 96797-1634
(808) 352-2652
(808) 517-4251
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
79319
HI
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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