Individual
LEO-DANIEL VALENCIA BUTAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN FNP-BC, DNP
Contact information
Practice address
3-3420 KUHIO HWY, LIHUE, HI 96766-1042
(808) 245-1500
Mailing address
2900 AHEAHE ST, LIHUE, HI 96766-2009
(808) 639-4260
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2296
HI
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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