Individual
RICK C CALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-385 HAMAU ST, WAIPAHU, HI 96797-4506
(808) 671-3552
(808) 671-3552
Mailing address
94-385 HAMAU ST, WAIPAHU, HI 96797-4506
(808) 671-3552
(808) 671-3552
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
563298-01
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
563298-01
RACCP PROVIDER
HI
Enumeration date
02/15/2007
Last updated
07/08/2007
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