SearchHawaii311ZA0620X

Mawicelica Balisacan

NPI 1861168593 · on the registry since 2021 · sole proprietor

Practice

Address
94-941 Kuhaulua St
Waipahu, HI 96797
Phone
(808) 304-3590
Fax
(808) 379-0468

Registry record

Primary taxonomy
311ZA0620X
311ZA0620X
Licence states on file
HI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-08-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii