TRICIA ELLEN MOGA KELLUM

HONOLULU, HI
NPI1700506565
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: HI  96799)
Additional Taxonomies163W00000X Registered Nurse
(Licence: WA  61240711)
163W00000X Registered Nurse
(Licence: PA  067462)
163W00000X Registered Nurse
(Licence: GA  287482)
Enumeration Date2022-08-31
Last Update Date2022-09-02
Business Address
TRICIA ELLEN MOGA KELLUM RN
3288 MOANALUA RD
HONOLULU, HI 96819-1469
Phone number: 808-432-0000
Mailing Address
TRICIA ELLEN MOGA KELLUM RN
307 LEHUA LN
HONOLULU, HI 96818-4615
Phone number: 313-463-0399