Individual
DISA GAY B CAMACAYLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65-1230 MAMALAHOA HWY, SUITE E11, KAMUELA, HI 96743-8318
(808) 885-7131
Mailing address
65-1230 MAMALAHOA HWY, SUITE E11, KAMUELA, HI 96743-8318
(808) 885-7131
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
05008661A
IN
Other
Enumeration date
03/16/2007
Last updated
04/17/2015
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