NPI 1205478625

Jason Lee Riessland, LPN

Practitioner Licensed Practical Nurse Waipahu, HI

Practice location

Address: 94-450 Mokuola Street Suite 100, Waipahu, HI 96797
Phone: (808) 854-4275
Mailing address: 475 Kinoole St STE 102, Hilo, HI 96720-2900

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence LPN-18625 (HI)

Other Licensed Practical Nurse providers in Hawaii →

Registry record

NPI: 1205478625
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Oct 2019
Record last updated: 17 Oct 2019

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.