Individual
MR. VILLAMOR E GANI SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2290 AWAPUHI ST, HILO, HI 96720-5387
(808) 959-0404
(808) 959-4477
Mailing address
2290 AWAPUHI ST, HILO, HI 96720-5387
(808) 959-0404
(808) 959-4477
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
H1020408677
HI
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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