Individual
MR. MANUEL CONTRERAS JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
USS RUSSELL DDG59, PEARL HARBOR, HI 96782
(808) 471-4794
Mailing address
185 AUSTIN CT, PEARL CITY, HI 96782-3406
(808) 782-5484
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/12/2006
Last updated
07/08/2007
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