Individual
GERONIMO BALBALEC BORGONIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
95-195 AUMEA LOOP, MILILANI, HI 96789-1208
(808) 277-3808
(808) 625-2425
Mailing address
95-195 AUMEA LOOP, MILILANI, HI 96789-1208
(808) 277-3808
(808) 625-2425
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
H00500085
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59653801
—
HI
Enumeration date
12/19/2007
Last updated
12/19/2007
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