Provider Demographics
NPI:1811446560
Name:DOLOR, GRACE RAMISCAL (RN)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:RAMISCAL
Last Name:DOLOR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:45-216 MAKAHIO ST
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3119
Mailing Address - Country:US
Mailing Address - Phone:808-436-2183
Mailing Address - Fax:808-247-5308
Practice Address - Street 1:45-216 MAKAHIO ST
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3119
Practice Address - Country:US
Practice Address - Phone:808-436-2183
Practice Address - Fax:808-247-5308
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-22
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN-57042163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse