Individual
MR. MANUEL SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
280 HOME OLU PLACE, KAUNAKAKAI, HI 96748-0408
(808) 553-3143
(808) 553-3140
Mailing address
PO BOX 323, MAUNALOA, HI 96770-0323
(808) 280-4269
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-71583
HI
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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