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Teodora Jim, LPN

Licensed Practical Nurse in Honolulu, HI. Individual provider (NPI-1).

NPI number1154985331
StatusActive
Last updated in NPPESMay 13, 2019

Details

NPI
1154985331
Entity type
Individual (NPI-1)
Name
Teodora Jim
Credential
LPN
Sex
Female
Sole proprietor
No
Enumeration date
Apr 23, 2019
Last updated
May 13, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse7267HIYes

Practice location

3440 Leahi Ave
Honolulu, HI 96815-4235

Phone 808-733-4999

Mailing address

94-450 Mokuola St Ste 100
Waipahu, HI 96797-3388

Phone 808-944-2882

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