Individual
MR. EMILIO DOMINGO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
948 WINANT ST, HONOLULU, HI 96817-4267
(808) 954-2188
Mailing address
948 WINANT ST, HONOLULU, HI 96817-4267
(808) 954-2188
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
13190
HI
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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