Organization
PACIFIC SLEEP TECH INC
Active
Other names
SLEEP DISORDER CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE D REQUE (PRESIDENT)
(808) 531-7878
Entity
Organization
Contact information
Practice address
98-1247 KAAHUMANU ST STE 106, AIEA, HI 96701-5310
(808) 531-7878
(808) 531-7829
Mailing address
98-1247 KAAHUMANU ST STE 106, AIEA, HI 96701-5310
(808) 531-7878
(808) 531-7829
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W27301992-01
GET LICENSE
HI
Enumeration date
10/30/2008
Last updated
10/30/2008
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