Provider Demographics
NPI:1255067443
Name:CALANTOC, SHIELA MARIE C
Entity type:Individual
Prefix:
First Name:SHIELA MARIE
Middle Name:C
Last Name:CALANTOC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 OLINO ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-1927
Mailing Address - Country:US
Mailing Address - Phone:180-820-2706
Mailing Address - Fax:
Practice Address - Street 1:1311 OLINO ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96818-1927
Practice Address - Country:US
Practice Address - Phone:180-820-2706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty