Individual
LAURA LEE HENDRICKS WEISSBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2828 PAA ST, HONOLULU, HI 96819-4430
(808) 432-5656
Mailing address
3027 PUALEI CIR APT 209, HONOLULU, HI 96815-4969
(808) 927-5899
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-54391
HI
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN-1133
HI
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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