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Individual

JESUS MANUEL CRESPO-DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AHCNS, ACNP-BC

Contact information

Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 257-3365
Mailing address
480 CENTRAL AVE, NAVAL HEALTH CLINIC HAWAII, PEARL HARBOR, HI 96860-4908
(808) 257-3365

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN580935
PA
163WM0705X
Medical-Surgical Registered Nurse
RN9180687
FL

Other

Enumeration date
12/22/2014
Last updated
12/22/2014
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