Individual
LYNDEN DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 ANO LN, HONOLULU, HI 96819-4202
(808) 347-3625
Mailing address
2001 ANO LN, HONOLULU, HI 96819-4202
(808) 347-3625
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
H00826648
HI
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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