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Angelina Alba

Foster Care Agency in Kahului, HI. Individual provider (NPI-1).

NPI number1558085183
StatusActive
Last updated in NPPESSep 27, 2022

Details

NPI
1558085183
Entity type
Individual (NPI-1)
Name
Angelina Alba
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 27, 2022
Certification date
Sep 27, 2022
Last updated
Sep 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253J00000X Foster Care Agency4-22059HIYes

Practice location

808 Poai Pl
Kahului, HI 96732-2646

Phone 808-868-1507 · Fax 808-214-6667

Mailing address

808 Poai Pl
Kahului, HI 96732-2646

Phone 808-868-1507 · Fax 808-214-6667

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