Individual
ESTELA P GANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2290 AWAPUHI ST, HILO, HI 96720-5387
(808) 959-0404
(808) 959-4477
Mailing address
2290 AWAPUHI ST, HILO, HI 96720-5387
(808) 959-0404
(808) 959-4477
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
H1110318149
HI
Other
Enumeration date
02/13/2012
Last updated
11/08/2013
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