Individual
MS. JENNIFER MARIE RABIDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN CDE
Contact information
Practice address
67-1125 MAMALAHOA HWY, KAMUELA, HI 96743-8496
(808) 881-4496
(808) 885-1042
Mailing address
PO BOX 6498, KAMUELA, HI 96743-6498
(808) 881-4496
(808) 885-1042
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN46841
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000250894
HMSA
HI
Enumeration date
05/02/2007
Last updated
07/08/2007
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