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Organization

CNA SENIOR TRANSPORT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JORDAN H WONG MBA (OWNER)
(808) 358-8200
Entity
Organization

Contact information

Practice address
3311 SIERRA DR, HONOLULU, HI 96816-3213
(808) 735-9500
(808) 735-0800
Mailing address
3311 SIERRA DR, HONOLULU, HI 96816-3213
(808) 735-9500
(808) 735-0800

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
W20193728
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
527278
HI
Enumeration date
03/27/2008
Last updated
03/27/2008
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