Individual
MARY CHRISTINE IBANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1301 PUNCHBOWL ST, FTC, HONOLULU, HI 96813-2402
(808) 547-4221
(808) 537-7896
Mailing address
1301 PUNCHBOWL ST, FTC, HONOLULU, HI 96813-2402
(808) 547-4221
(808) 537-7896
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN55863
HI
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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