Individual
MS. SUSAN JEAN BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(808) 381-4928
Mailing address
3036 DIAMOND HEAD RD, HONOLULU, HI 96815-4717
(808) 381-4928
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
172
HI
Other
Enumeration date
12/20/2005
Last updated
05/18/2008
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