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Individual

GABRIELA MARIA ORTIZ-OMPHROY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
98-1247 KAAHUMANU ST STE 118A, AIEA, HI 96701-5310
(808) 488-4342
(808) 488-4151
Mailing address
PO BOX 31000, HONOLULU, HI 96849-5550
(808) 488-4342
(808) 488-4151

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD 12351
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5392731-3
HI
Enumeration date
12/19/2006
Last updated
05/09/2017
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