Individual
JONATHAN LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 442-5503
Mailing address
2180 MAIN ST, WAILUKU, HI 96793-1625
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
DOS-2543
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2020
Last updated
03/07/2024
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