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Individual

ALLEN WALTERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
46-477 KUNEKI WAY, KANEOHE, HI 96744-3538
(954) 288-5151
Mailing address
46-477 KUNEKI WAY, KANEOHE, HI 96744-3538

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000000
NONE
Enumeration date
08/06/2016
Last updated
08/06/2016
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