NPI 1114298569
Jacqueline C Desa-Shishido, LPN
Practice location
- Address
- 15-2866 Pahoa Village Rd Bldg E., Pahoa, HI 96778-7720
- Phone
- (808) 965-2241
- Fax
- (808) 965-2240
- Mailing address
- 1250 Punchbowl St Rm 256, Honolulu, HI 96813-2416
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1114298569
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Jan 2012
- Record last updated
- 17 Jan 2012
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.