Most Relevant Information
Provider Data
| NPI Number: | 1003479791 |
| Provider Name: | INDAH VALENTINE PANGILINAN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 83385 |
Most Important Dates
| Enumeration Date: | 04/17/2019 |
| Last Updated: | 04/17/2019 |
Provider Practice Location
91-740 PAPIPI RD
EWA BEACH
HI
967062436
Practice Location Phone/Fax
| Phone: | 8083072300 |
| Fax: |
Provider Mailing Location
94-450 MOKUOLA ST
WAIPAHU
HI
967973388
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |