Individual
STEPHANIE FUNTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
9875 WAIMEA ROAD, WAIMEA, HI 96796
(808) 338-0252
Mailing address
2970 KELE ST STE 203, LIHUE, HI 96766-1803
(808) 338-0252
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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