Individual
MS. CHARISMA Q FORONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
480 CENTRAL AVE, JBPHH, HI 96860-4908
(808) 473-1880
Mailing address
480 CENTRAL AVE, JBPHH, HI 96860-4908
(808) 473-1880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95237
HI
164W00000X
Licensed Practical Nurse
15719
HI
Other
Enumeration date
03/17/2011
Last updated
12/17/2019
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