Individual
MRS. CHANISE GARVIN-DUMAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 474-4242
Mailing address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95765
OK
163WX0106X
Occupational Health Registered Nurse
Primary
95765
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95765
NURSING LICENSE
OK
Enumeration date
07/10/2015
Last updated
08/17/2023
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