Individual
MRS. STACEY OKANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
16-1397 OLE POHAKU 35TH PLACE, KEAAU, HI 96749
(808) 982-7828
(808) 982-7822
Mailing address
PO BOX 7014, HILO, HI 96720-8937
(808) 982-7828
(808) 982-7822
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
1525-C
HI
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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