Individual
LISANDRA ONTIVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
3155 MANOA RD, HONOLULU, HI 96822-1228
(808) 988-1868
Mailing address
606 KULEKIA ALY, HONOLULU, HI 96818-4889
(813) 562-7744
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
97546
HI
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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