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Individual

MR. MARK ZAFRA ANCIANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
HANDICAB OPTR. TRANS

Contact information

Practice address
45-138D WILLIAM HENRY RD., KANEOHE, HI 96744
(808) 383-9436
(808) 234-1023
Mailing address
45-138D WILLIAM HENRY RD, KANEOHE, HI 96744
(808) 383-9436
(808) 234-1023

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary

Other

Enumeration date
11/22/2010
Last updated
11/22/2010
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