Individual
MR. EDWIN ERNEST STUMPF II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, CCM
Contact information
Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 474-0625
Mailing address
620 MCCULLY ST APT 805, HONOLULU, HI 96826-3944
(808) 639-5719
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
55288
HI
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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