Individual
RENATO QUINTO PROTACIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
198 19TH ST, HONOLULU, HI 96818-4610
(808) 800-7232
(888) 808-3895
Mailing address
198 19TH ST, HONOLULU, HI 96818-4610
(808) 800-7232
(888) 808-3895
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
GE-125-946-6752-02
HI
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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