AVALON BLAKE

KANEOHE, HI
NPI1043874035
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: HI  89669)
Enumeration Date2019-04-25
Last Update Date2019-04-25
Business Address
AVALON BLAKE RN
46-202 HAIKU RD
KANEOHE, HI 96744-3806
Phone number: 808-233-5677
Mailing Address
AVALON BLAKE RN
5100 BINGHAM WAY
KAILUA, HI 96734-5098
Phone number: