Organization
BUENAVENTURA E. REALICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BUENAVENTURA E REALICA (M.D)
(808) 677-5664
Entity
Organization
Contact information
Practice address
94-239 WAIPAHU DEPOT ST, WAIPAHU, HI 96797-3056
(808) 677-5664
(808) 677-1010
Mailing address
94-239 WAIPAHU DEPOT ST, WAIPAHU, HI 96797-3056
(808) 677-5664
(808) 677-1010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1497
HI
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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