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Individual

DANIEL CALDERON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SO-ATP

Contact information

Practice address
1253 MAKALAPA GATE RD BLDG 1407, JBPHH, HI 96860-4479
(201) 888-4733
Mailing address
962 ALIAMANU DR, HONOLULU, HI 96818-7089
(201) 888-4733

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
E1840660
TX
171000000X
Military Health Care Provider
Primary

Other

Enumeration date
10/07/2021
Last updated
10/07/2021
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