Most Relevant Information
Provider Data
| NPI Number: | 1003591777 |
| Provider Name: | AYANNA RECE JOSE |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/20/2023 |
| Last Updated: | 02/20/2024 |
Provider Practice Location
277 OHUA AVE
HONOLULU
HI
968153695
Practice Location Phone/Fax
| Phone: | 8089224787 |
| Fax: |
Provider Mailing Location
277 OHUA AVE
HONOLULU
HI
968153695
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |