Individual
DAVID MALDONADO SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
480 CENTRAL AVE, JBPHH, HI 96860-4908
(808) 473-1880
Mailing address
1020 KAKALA ST APT 1306, KAPOLEI, HI 96707-4547
(224) 772-4927
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
04/08/2025
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