Most Relevant Information
Provider Data
| NPI Number: | 1003250986 |
| Provider Name: | MARCENE MORK RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN 22613 |
Most Important Dates
| Enumeration Date: | 04/23/2013 |
| Last Updated: | 04/23/2013 |
Provider Practice Location
81-6187 MAMALAHOA HWY
BLDG C
KEALAKEKUA
HI
96750
Practice Location Phone/Fax
| Phone: | 8083232664 |
| Fax: | 8083232999 |
Provider Mailing Location
91-1841 FORT WEAVER RD
EWA BEACH
HI
967061909
Provider Mailing Phone/Fax
| Phone: | 8086813500 |
| Fax: | 8086811486 |