Individual
MR. JEFFREY JAMES BAUMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
56-660 KAMEHAMEHA HWY, KAHUKU, HI 96731-2210
(231) 459-6177
Mailing address
53-017 POKIWAI PL, HAUULA, HI 96717-9728
(231) 459-6177
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
HI
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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