Individual
MS. BETTYE JILL GULMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
2055 OLINDA RD, MAKAWAO, HI 96768-7130
(808) 572-4822
Mailing address
PO BOX 1702, MAKAWAO, HI 96768-1702
(808) 572-4822
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
OT - 821
HI
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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