Individual
MRS. GRACE CRISTOBAL ANDRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1682 NOHOANA PL, HILO, HI 96720-5538
(808) 959-4963
Mailing address
1682 NOHOANA PL, HILO, HI 96720-5538
(808) 959-4963
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
HI020400136
HI
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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