Individual
MR. LOGAN LAULE'A TOLENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2459 10TH AVE, HONOLULU, HI 96816-3051
(808) 737-2555
Mailing address
PO BOX 5001, KANEOHE, HI 96744-9001
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-243-0
HI
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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