Individual
HAZEL LUAB MONTEBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-312 HANAWAI CIR, WAIPAHU, HI 96797-3003
(808) 748-1420
Mailing address
PO BOX 971305, WAIPAHU, HI 96797-8202
(808) 748-1420
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PUC532
PUC
HI
Enumeration date
02/04/2020
Last updated
02/04/2020
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