Individual
CORAZON BAPTISTA PABLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
92-387 LAALOA ST, KAPOLEI, HI 96707-1608
(808) 682-0483
Mailing address
92-387 LAALOA ST, KAPOLEI, HI 96707-1608
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
PUC 337-C
HI
Other
Enumeration date
04/17/2010
Last updated
04/17/2010
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