Individual
MR. VENERANDO TORRES GATDULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
94-260 WAIPAHU DEPOT ST, WAIPAHU, HI 96797-3009
(808) 469-7690
Mailing address
94-1397 WAIPAHU ST, WAIPAHU, HI 96797-3551
(808) 469-7690
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DIO-246
HI
Other
Enumeration date
03/01/2009
Last updated
03/01/2009
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