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Individual

MR. JOSE ANTONIO ANTONMATTEI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
148 UPPER KIMO DR, KULA, HI 96790-8049
(808) 283-4321
Mailing address
148 UPPER KIMO DR, KULA, HI 96790-8049
(808) 283-4321

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary

Other

Enumeration date
08/12/2006
Last updated
07/08/2007
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