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Individual

LAWRENCE VELASCO CARIAGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.A

Contact information

Practice address
234 WAIANUENUE AVE, SUITE 215, HILO, HI 96720-2418
(808) 935-6109
Mailing address
951192 MILO ROAD, NAALEHU, HI 96772
(808) 756-2968

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/19/2014
Last updated
08/19/2014
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