Provider Demographics
NPI:1689081960
Name:CALIGTAN, GRACE ALVARO (LSP)
Entity Type:Individual
Prefix:MISS
First Name:GRACE
Middle Name:ALVARO
Last Name:CALIGTAN
Suffix:
Gender:F
Credentials:LSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1967 NAIO ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2048
Mailing Address - Country:US
Mailing Address - Phone:808-783-1816
Mailing Address - Fax:
Practice Address - Street 1:1967 NAIO ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2048
Practice Address - Country:US
Practice Address - Phone:808-783-1816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174H00000XOther Service ProvidersHealth Educator