Individual
MR. ARSENIO AUSTRIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
920 PUKU ST., HILO, HI 96720
(808) 959-7753
(808) 959-7753
Mailing address
920 PUKU ST., HILO, HI 96720
(808) 959-7753
(808) 959-7753
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HCBS09-
HI
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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