Individual
JULIEN VERGARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45-138 WILLIAM HENRY ROAD, APT# D, KANEOHE, HI 96744-5813
(808) 383-9436
Mailing address
45-138 WILLIAM HENRY ROAD, APT# D, KANEOHE, HI 96744-5813
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
HI
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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