Organization
ARMY NATIONAL GUARD MEDICAL COMMAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET GRACE LUNDBERG RN (REGISTERED NURSE)
(808) 224-8898
Entity
Organization
Contact information
Practice address
89-202 WAIEA PL, WAIANAE, HI 96792-4144
(808) 224-8898
Mailing address
89-202 WAIEA PL, WAIANAE, HI 96792-4144
(808) 224-8898
Taxonomy
Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
36905
HI
Other
Enumeration date
02/26/2007
Last updated
08/22/2020
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