Individual
LOUISSE GAYLE FUNIESTAS AQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
45-386 KANEOHE BAY DR, KANEOHE, HI 96744-2248
(808) 391-9232
Mailing address
94-1036 HOOHELE ST, WAIPAHU, HI 96797-4762
(808) 391-9232
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
84138
HI
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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