Individual
HEATHER RENEE SOUTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
480 CENTRAL AVE, JBPHH, HI 96860-4908
(888) 683-2778
Mailing address
987 QUEEN ST APT 527, HONOLULU, HI 96814-5265
(870) 273-8210
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
123256
HI
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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