Individual
MR. CESAR ANTONIO VENTURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
708 PONA WAY, KAHULUI, HI 96732-1728
(808) 871-0779
(808) 877-3130
Mailing address
708 PONA WAY, KAHULUI, HI 96732-1728
(808) 871-0779
(808) 877-3130
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
HI020410307
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56009601
—
HI
Enumeration date
12/09/2006
Last updated
04/29/2009
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