Individual
MILDRED BUMANGLAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-1273 PEKE PL, WAIPAHU, HI 96797-3607
(808) 699-6760
Mailing address
94-1273 PEKE PL, WAIPAHU, HI 96797-3607
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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