Individual
DAVID MENDONSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
15-1697 TENTH AVE, KEAAU, HI 96749
(808) 377-4734
Mailing address
PO BOX 5484, HILO, HI 96720-8484
(808) 377-4734
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
ATP1392
HI
208D00000X
General Practice Physician
Primary
AMD621
HI
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
11/10/2013
Last updated
03/06/2018
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