Individual
JELSA MARTICIO ISIDRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TRANSPORTATION
Contact information
Practice address
75-5915 WALUA RD, KAILUA KONA, HI 96740-1375
(808) 936-6547
(808) 327-9462
Mailing address
PO BOX 207, KAILUA KONA, HI 96745-0207
(808) 936-6547
(808) 327-9462
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
06/14/2022
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