NPI 1992501795

Joanna Borreta

Practitioner Prevention Professional Makawao, HI

Practice location

Address: 1931 Baldwin Ave, Makawao, HI 96768-9761
Phone: (808) 579-8414
Mailing address: 50 Manino Cir APT 103, Kihei, HI 96753-5200

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 462-23M (HI)

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Registry record

NPI: 1992501795
Entity type: Individual
Sex (as registered): X
NPI issued: 21 Feb 2025
Record last updated: 21 Feb 2025

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.