Individual
RAPHAEL CAPATI BACANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
803 KAMEHAMEHA HWY STE 210, PEARL CITY, HI 96782-2638
(808) 258-0472
Mailing address
91-969 MAILANI ST, EWA BEACH, HI 96706-2254
(808) 258-0472
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DME-0390
HI
Other
Enumeration date
04/01/2024
Last updated
04/09/2024
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