Individual
JACK ROBERT FIELDS-NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
430 KAIOLU ST APT 909, HONOLULU, HI 96815-2232
(720) 556-9026
Mailing address
430 KAIOLU ST APT 909, HONOLULU, HI 96815-2232
(720) 556-9026
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
HI
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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