Individual
RAUL EMMANUEL CENTENO MONTALBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
152 PLUM ST, WAHIAWA, HI 96786-2116
(808) 799-9138
Mailing address
152 PLUM ST, WAHIAWA, HI 96786-2116
(808) 799-9138
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-97771
HI
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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