Organization
KOKUA TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAMINO GALLARDO DUPAYA JR. (OWNER)
(808) 779-4210
Entity
Organization
Contact information
Practice address
4324 ORION DR APT D, KAPOLEI, HI 96707-3635
(808) 888-5964
Mailing address
4324 ORION DR APT D, KAPOLEI, HI 96707-3635
(808) 888-5964
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
379-C
HI
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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