Individual
EILEEN GILLEN GILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DVM, CCRI, CVA
Contact information
Practice address
100 KALZI PL, LAHAINE, HI 96761
(808) 757-5570
Mailing address
100 KALZI PL, LAHAINE, HI 96761
(808) 757-5570
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
VE-768
HI
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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