Individual
GREGORIO MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-389 WAIPAHU ST, WAIPAHU, HI 96797-2620
(808) 852-0810
Mailing address
94-389 WAIPAHU ST, WAIPAHU, HI 96797-2620
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-94408
HI
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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