Individual
MR. JASON V CARRANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BOCPD
Contact information
Practice address
1 JARRETT WHITE RD RM 3G812, TRIPLER AMC, HI 96859-5001
(808) 433-6967
Mailing address
91-1042 KALOI PL, EWA BEACH, HI 96706-3776
(808) 397-7515
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
C51722
HI
Other
Enumeration date
04/13/2019
Last updated
10/06/2021
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