Individual
MR. BRUCE WAYNE GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, COHN-S
Contact information
Practice address
480 CENTRAL AVE., NAVAL HEALTH CLINIC HAWAII, JBPHH, HI 96860
(808) 474-4242
(808) 471-1437
Mailing address
480 CENTRAL AVE., NAVAL HEALTH CLINIC HAWAII, JBPHH, HI 96860
(808) 474-4242
(808) 471-1437
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
520972
CA
163WX0106X
Occupational Health Registered Nurse
Primary
RN35705
HI
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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