Individual
RAND D MUNDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1028 KINOOLE ST STE 104, HILO, HI 96720-3800
(808) 935-3121
Mailing address
1028 KINOOLE ST STE 104, HILO, HI 96720-3800
(808) 935-3121
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO-105
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059300-03
—
HI
01
—
I07876-7
HMSA- BLUE CROSS
HI
Enumeration date
02/21/2007
Last updated
01/06/2012
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