Individual
MRS. EMMA BANATICLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-359 HONOWAI ST # A, WAIPAHU, HI 96797-1413
(808) 664-1904
Mailing address
94-359 HONOWAI ST # A, WAIPAHU, HI 96797-1413
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
H1040906326
HI
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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