Individual
EDUARDO G. VILLASENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6000
Mailing address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A78762
CA
208600000X
Surgery Physician
Primary
MD-18173
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A787620
—
CA
Enumeration date
11/01/2006
Last updated
05/12/2021
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