Individual
MR. CARLO DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
VA PIHCS, 459 PATTERSON ROAD, HONOLULU, HI 96819
(808) 538-2500
Mailing address
VA PIHCS, 459 PATTERSON ROAD, HONOLULU, HI 96819
(808) 538-2500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
72642
HI
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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