Individual
ALBERT L BOLOSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PARAPROFESSIONAL
Contact information
Practice address
94-269 KAHUAPILI ST, WAIPAHU, HI 96797-3521
(808) 341-8087
Mailing address
94-269 KAHUAPILI ST, WAIPAHU, HI 96797-3521
(808) 341-8087
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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