Individual
MR. JACK C VAN LUYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, NP-C
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-2600
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-2600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN00162839
WA
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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