Individual
SAMUEL RESENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16-2084 LEHUA DR, PAHOA, HI 96778-7745
(808) 430-6450
Mailing address
16-2084 LEHUA DR, PAHOA, HI 96778-7745
(808) 430-6450
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101Y00000X
HI
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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