Individual
GABRIEL FRANCIS BOLOSAN TEBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
450 WAIANUENUE AVE, HILO, HI 96720-2521
(808) 313-6641
Mailing address
450 WAIANUENUE AVE, HILO, HI 96720-2521
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1994
HI
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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