Corey Omoto, RN
Registered Nurse in Waipahu, HI. Individual provider (NPI-1).
NPI number1457967390
StatusActive
Last updated in NPPESSep 16, 2020
Details
- NPI
- 1457967390
- Entity type
- Individual (NPI-1)
- Name
- Corey Omoto
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2020
- Certification date
- Sep 16, 2020
- Last updated
- Sep 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN-89024 | HI | Yes |
Practice location
94-1105 Awalua StWaipahu, HI 96797-5327
Phone 808-425-3587
Mailing address
94-1105 Awalua StWaipahu, HI 96797-5327
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