NPI 1043972953

Bonny Anne Wallace

Practitioner Community Health Worker Hilo, HI

Practice location

Address: 167 Aipuni St, Hilo, HI 96720-1803
Phone: (808) 959-5855
Mailing address: 1786 Kinoole St, Hilo, HI 96720-5245

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Hawaii →

Registry record

NPI: 1043972953
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Oct 2021
Record last updated: 7 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.