Individual
WANDA R. CORPUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-380 LEHOPULU ST, WAIPAHU, HI 96797-1502
(808) 676-4561
(808) 676-4562
Mailing address
94-380 LEHOPULU ST, WAIPAHU, HI 96797-1502
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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