Individual
GAY LAUREEN GARRIDO JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4315 SIERRA DR, HONOLULU, HI 96816-3379
(808) 561-4268
Mailing address
4315 SIERRA DR., HONOLULU, HI 96816
(808) 561-4268
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-269
HI
Other
Enumeration date
02/08/2010
Last updated
10/18/2010
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