Individual
JAMIELU URETA DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
960 PROSPECT ST APT 8, HONOLULU, HI 96822-3438
(808) 979-5705
Mailing address
1401 S BERETANIA ST STE 550, HONOLULU, HI 96814-1880
(808) 381-8947
(808) 591-2245
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-4889
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3213
UNIVERSITY HEALTH ALLIANCE
HI
Enumeration date
08/30/2019
Last updated
05/22/2024
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