Individual
MAGDALENA ASUNCION BALTAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-904 KUAKAHI ST, WAIPAHU, HI 96797-2808
(180) 867-7496
Mailing address
94-904 KUAKAHI ST, WAIPAHU, HI 96797-2808
(180) 867-7496
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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