Maritel Tinaza Antonio

NPI #1629750898 in Waipahu, Hawaii

Provider Information

NPI Number
1629750898
Entity Type
Individual
Name
Maritel Tinaza Antonio
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Aug 7, 2023
Last Updated
Aug 7, 2023

Practice Location

Address
94-1190 LUMIKULA ST
State
Hawaii
ZIP Code
96797-3943
Phone
(808) 782-1381

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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