Individual
KIRK RUBINSON JUMALON INTONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
91-750 ONEULA PL, EWA BEACH, HI 96706-2552
(808) 393-4919
Mailing address
91-750 ONEULA PL, EWA BEACH, HI 96706-2552
(808) 393-4919
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
H01275024
HI
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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