Individual
JOLLY ANNE LORENZO UCLARAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 442-5532
Mailing address
770 LONO AVE, KAHULUI, HI 96732-2531
(808) 205-4815
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
54970
HI
163W00000X
Registered Nurse
842545
NV
363L00000X
Nurse Practitioner
APRN-3428-0
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08142002
—
HI
Enumeration date
10/28/2021
Last updated
03/29/2022
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