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Individual

JANICE MARGARET BRENCICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN-BC, PHD

Contact information

Practice address
645308 PUU NANI DR., KAMUELA, HI 96743-7038
(808) 885-9393
(808) 885-9379
Mailing address
PO BOX 7038, KAMUELA, HI 96743-7038
(808) 885-9393
(808) 885-9379

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
APRN-399
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
50186801
HI
Enumeration date
02/23/2007
Last updated
07/08/2007
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