Individual
SAMUEL LAUREANO VIERNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-584 APII PL, WAIPAHU, HI 96797-2868
(808) 200-1267
Mailing address
94-584 APII PL, WAIPAHU, HI 96797-2868
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H00629022
—
HI
Enumeration date
08/08/2022
Last updated
08/08/2022
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