Individual
MR. RALPH SALIB-O DOMINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
2180 MAIN ST, WAILUKU, HI 96793-1625
(808) 242-8080
Mailing address
2180 MAIN ST, WAILUKU, HI 96793-1625
(808) 249-8080
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-3670
HI
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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