Provider Demographics
NPI:1093199507
Name:JULIANE, FLORILY (LPN)
Entity Type:Individual
Prefix:MS
First Name:FLORILY
Middle Name:
Last Name:JULIANE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MRS
Other - First Name:FLORILY
Other - Middle Name:JULIANE
Other - Last Name:ESPINA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN/CNA
Mailing Address - Street 1:45-701 PUOHALA ST
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-2839
Mailing Address - Country:US
Mailing Address - Phone:808-861-3834
Mailing Address - Fax:808-691-9273
Practice Address - Street 1:45-701 PUOHALA ST
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-2839
Practice Address - Country:US
Practice Address - Phone:808-861-3834
Practice Address - Fax:808-691-9273
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-14
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIHI000005591251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health