Individual
MARIO PASCUAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
92-1258 KALEO PL, KAPOLEI, HI 96707-1536
(808) 228-6858
Mailing address
92-1258 KALEO PL, KAPOLEI, HI 96707-1536
(808) 228-6858
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8214323
HI
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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