Individual
MR. LESLIE ULUMANA MAR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
94-373 PUNONO ST, MILILANI, HI 96789-2566
(808) 778-2015
Mailing address
94-373 PUNONO ST, MILILANI, HI 96789-2566
(808) 778-2015
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16-1314
NV
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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