Individual
EDWIN LIBUNAO PENGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-1007 HIAPO ST, WAIPAHU, HI 96797-3709
(808) 797-5970
Mailing address
94-1007 HIAPO ST, WAIPAHU, HI 96797-3709
(808) 797-5970
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1-220030
HI
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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