Individual
MRS. RESURRECCION BUMANGLAG BUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
91-1044 UOUOA ST, EWA BEACH, HI 96706-3593
(808) 223-6497
(808) 671-1726
Mailing address
91-1044 UOUOA ST, EWA BEACH, HI 96706-3593
(808) 223-6497
(808) 671-1726
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1-100030
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
754714
—
HI
Enumeration date
04/28/2020
Last updated
04/28/2020
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