Individual
MARICRIS MINA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 473-1880
Mailing address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 473-1880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 9193932
FL
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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