Individual
LAQUINTA DANIELLE FAUTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1229 ALA KAPUNA ST APT 104, HONOLULU, HI 96819-4619
(228) 383-4356
Mailing address
1229 ALA KAPUNA ST APT 104, HONOLULU, HI 96819-4619
(228) 383-4356
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
92686
HI
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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