Individual
RUSSEL CABANTING LUZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-1077 LUMIAINA ST, WAIPAHU, HI 96797-3912
(808) 542-8317
Mailing address
PO BOX 970174, WAIPAHU, HI 96797-0174
(808) 542-8317
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
992052284
IRS
HI
Enumeration date
03/25/2024
Last updated
03/25/2024
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