Individual
CONRADO OBIAS MANGANTI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2073B CAMPION DR, KAILUA, HI 96734-4818
(808) 257-1571
(808) 257-2271
Mailing address
2073B CAMPION DR, KAILUA, HI 96734-4818
(808) 257-1571
(808) 257-2271
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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