Individual
MR. EULOGIO QUINTOS GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1058 MIDDAUGH STREET, KANEOHE BAY, HI 96863
(808) 257-1479
Mailing address
7293 BIRCH CIR, PEARL CITY, HI 96782-4501
(951) 775-3895
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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