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1760223895
JENNY MARIE PIVONKA
HONOLULU, HI
NPI
1760223895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: HI APRN-4612-0)
Enumeration Date
2024-06-03
Last Update Date
2024-06-03
Business Address
JENNY MARIE PIVONKA
4211 WAIALAE AVE STE 208
HONOLULU, HI 96816-5312
Phone number: 808-429-9795
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Mailing Address
JENNY MARIE PIVONKA
PO BOX 4611
KANEOHE, HI 96744-8611
Phone number: 808-429-9795
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