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Individual

MARIVIC CRISTOBAL RAYMUNDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
915 N KING ST, HONOLULU, HI 96817-4544
(808) 848-1438
Mailing address
824 CRESCENT TRCE, CHESAPEAKE, VA 23320-3593
(757) 580-6938

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101230921
VA
208000000X
Pediatrics Physician
Primary
MD-20471
HI

Other

Enumeration date
12/05/2006
Last updated
06/10/2021
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