Individual
SUERTE CORLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5113 MAUNALANI CIR, HONOLULU, HI 96816-4019
(808) 695-2830
Mailing address
94-1064 HIAPO ST, WAIPAHU, HI 96797-3708
(808) 498-7366
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN69561
HI
163WA2000X
Administrator Registered Nurse
RN69561
HI
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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