Individual
JULIA VERGARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3071 PUALEI CIR APT 202, HONOLULU, HI 96815-4933
(305) 978-3073
Mailing address
3071 PUALEI CIR APT 202, HONOLULU, HI 96815-4933
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MAT11686
HI
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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