Provider Information for 1184225443
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ANGELA NALANI MENDIOLA
Sex: Female
NPI: 1184225443
Last Updated: 2020-11-03
Certification Date: 2020-11-03
Certification Date: 2020-11-03
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1184225443 | ||||||||||||||
| Enumeration Date | 2020-11-03 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | PO BOX 283167 HONOLULU, HI 96828-3167 United States Phone: 808-426-6648 | Fax: | ||||||||||||||
| Primary Practice Address | 1440 KAPIOLANI BLVD STE 1200 HONOLULU, HI 96814-3608 United States Phone: 808-538-7793 | Fax: | ||||||||||||||
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