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Individual

MA NATALIE JOY PIMENTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
94-600 HONOWAI ST, WAIPAHU, HI 96797-1307
(808) 307-7100
Mailing address
94-520 APII ST, WAIPAHU, HI 96797-2867
(415) 305-4057

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
92744
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
S00190080
HI
Enumeration date
04/23/2019
Last updated
04/23/2019
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