Individual
MR. ENRIQUE MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 VICTOR WHARF ACCESS RD, BUILDING 987, PEARL CITY, HI 96782-3400
(808) 474-2500
Mailing address
4710 NEVADA ST, HONOLULU, HI 96818-5049
(808) 664-3941
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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