Individual
MARIA CECILIA BRAVO MANGROBANG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(800) 433-0061
Mailing address
PO BOX 1634, HONOLULU, HI 96806-1634
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 12479
HI
Other
Enumeration date
05/09/2006
Last updated
07/08/2007
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