Individual
JESSAMINE NINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
459 PATTERSON ROAD, BUILDING 110, HONOLULU, HI 96819
(808) 433-0256
Mailing address
94-1235 KAHUAINA ST., WAIPAHU, HI 96797
(808) 391-2334
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
82869
HI
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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