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Individual

JOSHUA ALIIMEAHEENALU AULD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
1887 MAKUAKANE ST, HONOLULU, HI 96817-1800
(808) 554-0708
Mailing address
1108 KUOKOA ST, PEARL CITY, HI 96782-1954
(808) 554-0708

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000037093
HI

Other

Enumeration date
12/10/2019
Last updated
01/03/2020
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