Organization
ARMY NATIONAL GUARD MEDICAL COMMAND
Active
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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