Provider Demographics
NPI:1487369005
Name:CALANTOC, JULIET CASTANEDA
Entity type:Individual
Prefix:
First Name:JULIET
Middle Name:CASTANEDA
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:808-859-7270
Mailing Address - Fax:
Practice Address - Street 1:1108 KUKILA PL
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96818-1948
Practice Address - Country:US
Practice Address - Phone:808-859-7270
Practice Address - Fax:808-200-4867
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide