Individual
LOURDES IBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1621 KAUMOLI ST, PEARL CITY, HI 96782-1501
(808) 724-2129
Mailing address
1621 KAUMOLI ST, PEARL CITY, HI 96782-1501
(808) 724-2129
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1-200008
HI
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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