Individual
KENNEY SANCHEZ VIRTUDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-1153 AWAIKI ST, WAIPAHU, HI 96797-3224
(808) 650-1236
Mailing address
94-1153 AWAIKI ST, WAIPAHU, HI 96797-3224
(808) 650-1236
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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