MARICEL BALLARES

WAIPAHU, HI
NPI1780084681
Former NameN/A N/A N/A
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy253J00000X Foster Care Agency
(Licence: HI  HCBS 09-2434)
Enumeration Date2014-08-27
Last Update Date2016-10-27
Business Address
-- MARICEL BALLARES
94-877 LUMIIKI ST
WAIPAHU, HI 96797-3933
Phone number: 808-729-3216
Mailing Address
-- MARICEL BALLARES
94-877 LUMIIKI ST
WAIPAHU, HI 96797-3933
Phone number: 808-729-3216