Individual
MS. KARISA ALANA DEITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
860 4TH ST RM 205, PEARL CITY, HI 96782-3312
(808) 453-6224
(808) 453-5966
Mailing address
860 4TH ST RM 205, PEARL CITY, HI 96782-3312
(808) 453-6224
(808) 453-5966
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
81610
HI
163W00000X
Registered Nurse
95107923
CA
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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