Individual
TERESA KATHERINE ADORNA MANGANAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(808) 433-0256
Mailing address
91-1025B HOOMAKA ST, EWA BEACH, HI 96706-4982
(808) 782-0699
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
94667
HI
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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