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Individual

MRS. LAURA UMAYAM INOCENCIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NOT APPLICABLE

Contact information

Practice address
91-656 KILINAHE ST, EWA BEACH, HI 96706-2716
(808) 722-2760
(808) 200-5144
Mailing address
91-656 KILINAHE ST, EWA BEACH, HI 96706-2716
(808) 722-2760
(808) 200-5144

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1-180039
HI

Other

Enumeration date
04/09/2025
Last updated
04/09/2025
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