Individual
MR. MICHAEL KEONISABINO APERTO-APODACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
480 CENTRAL AVE BLDG 1750, JBPHH, HI 96860-4908
(808) 745-0953
Mailing address
226 LEXINGTON BLVD, PEARL HARBOR, HI 96860-5807
(808) 472-8881
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518201953
U.S. NAVY
HI
Enumeration date
11/26/2012
Last updated
11/08/2024
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