Individual
MARICEL CORPUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-972 LUMILOKE ST, WAIPAHU, HI 96797-3962
(808) 620-7014
Mailing address
94-972 LUMILOKE ST, WAIPAHU, HI 96797-3962
(808) 620-7014
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
HI040806171
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HI040806171
NURSE AIDE LICENSE NUMBER
HI
Enumeration date
06/09/2021
Last updated
06/09/2021
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