Individual
CHARLES LARRY HAYGOOD II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(808) 835-9592
Mailing address
459 PATTERSON RD, HONOLULU, HI 96819-1522
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
93096
HI
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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