Individual
CHASTINE-MARIE BASUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-747 KIME ST, WAIPAHU, HI 96797-1273
(808) 944-2882
Mailing address
94-747 KIME ST, WAIPAHU, HI 96797-1273
(808) 944-2882
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
88266
HI
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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