Individual
ALEXANDER R GASMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
94-1211 FARRINGTON HWY, WAIPAHU, HI 96797-3297
(808) 307-9555
(808) 675-0257
Mailing address
94-1211 FARRINGTON HWY, WAIPAHU, HI 96797-3297
(808) 307-9555
(808) 675-0257
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012570
—
HI
Enumeration date
11/06/2020
Last updated
11/06/2020
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