HERIBERT BALISACAN BASILIO
Individual Provider (NPI-1)
Active
Nursing Care
Provider Information
- NPI Number
1720702038- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 48 DOLE RD, WAHIAWA, HI, 967862755
- Phone
- (808) 888-8671
- Fax
- (808) 888-8671
Specialties & Taxonomies
Nursing Care
Primary License: HI #HI070511407