Individual
JENSINE MELODY DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4380 LAWEHANA ST, HONOLULU, HI 96818-3137
(808) 441-3119
Mailing address
4380 LAWEHANA ST, HONOLULU, HI 96818-3137
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH-4568
HI
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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