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Individual

MRS. EILEEN COLOMA CASTILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3-3420 KUHIO HWY, SUITE B, LIHUE, HI 96766-1042
(808) 245-1547
(808) 246-1391
Mailing address
3-3420 KUHIO HWY, SUITE B, LIHUE, HI 96766-1042
(808) 245-1547
(808) 246-1391

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13012
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13012
NP LICENSE
CA
05
RN590339
CA
Enumeration date
08/24/2006
Last updated
11/25/2014
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