Healthcare Provider Details

I. General information

NPI: 1790327773
Provider Name (Legal Business Name): EMMELINE MINA TURIANO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2019
Last Update Date: 10/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 KAPA'A QUARRY PLACE #5002
KAILUA HI
96734
US

IV. Provider business mailing address

1624 DOLE ST APT 1402
HONOLULU HI
96822-4870
US

V. Phone/Fax

Practice location:
  • Phone: 808-247-2973
  • Fax:
Mailing address:
  • Phone: 808-745-7907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: