Individual
MRS. GLORIA TOMBUCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1970 HANALIMA ST APT D101, LIHUE, HI 96766-8928
(808) 651-9117
Mailing address
1970 HANALIMA ST APT D101, LIHUE, HI 96766-8928
(808) 651-9117
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000343285
—
HI
Enumeration date
01/23/2019
Last updated
01/23/2019
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