Individual
GLORIA EDEN GUERRERO DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
94-239 WAIPAHU DEPOT ST STE 110, WAIPAHU, HI 96797-3056
(808) 677-5664
(808) 677-1010
Mailing address
94-239 WAIPAHU DEPOT ST STE 110, WAIPAHU, HI 96797-3056
(808) 677-5664
(808) 677-1010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13656
HI
Other
Enumeration date
12/28/2010
Last updated
10/31/2017
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