Tanita Breyannen Denae Butler L.V.N.

NPI 1073773545 - Licensed Vocational Nurse - 164X00000X

NPI Details
NPI 1073773545
Gender Female
Enumeration Date 06/10/2008
Last Updated 06/10/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
480 CENTRAL AVE
PEARL HARBOR HI, 96860-4908, US
Phone (808) 471-1866
Fax (808) 471-1855
Business Location
480 CENTRAL AVE
PEARL HARBOR HI, 96860-4908, US
Phone (808) 471-1866
Fax (808) 471-1855
Toxanomy
Taxonomy Code 164X00000X
License State California
License Number VN 223193
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According to our database, Mrs. Tanita Breyannen Denae Butler L.V.N. NPI is 1073773545, taxonomy code is 164X00000X and license number is VN 223193, license state is located at California. Tanita Breyannen Denae Butler L.V.N. physically located at 480 Central Ave, Pearl Harbor HI, 96860-4908. NPI Number Tanita Breyannen Denae Butler L.V.N. has the Individual type.

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1073773545 NPI number is provided on an as is basis without warranty of any kind. 1073773545 is maintained by the National Plan & Provider Enumeration System. The contents of Tanita Breyannen Denae Butler L.V.N. are for informational purposes only.