Individual
KAREN JUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91-211 LUKINI PL, EWA BEACH, HI 96706-4750
(909) 251-5404
Mailing address
91-211 LUKINI PL, EWA BEACH, HI 96706-4750
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
94718
HI
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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