Individual
MR. VICTOR M LAFORTEZA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
98-550 KAAMILO ST, AIEA, HI 96701-4435
(808) 232-6066
Mailing address
98-550 KAAMILO ST, AIEA, HI 96701-4435
(808) 232-6066
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1647-C
HI
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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