Individual
MRS. MARY PORTERFIELD JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4515 PRINCETON PL, HONOLULU, HI 96818-5044
(808) 455-5981
Mailing address
4515 PRINCETON PL, HONOLULU, HI 96818-5044
(808) 455-5981
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN-46072
HI
Other
Enumeration date
10/04/2005
Last updated
07/08/2007
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