Individual
ELIZER ANDIE PAMBID DELA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
56-415 PAHELEHALA LOOP, KAHUKU, HI 96731-2045
(808) 293-0377
Mailing address
56-415 PAHELEHALA LOOP, KAHUKU, HI 96731-2045
(808) 293-0377
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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