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Individual

MR. TIMOTHY BENGZON VILLEGAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
47-344 WAIHEE RD, KANEOHE, HI 96744-4949
(808) 239-1531
Mailing address
47-344 WAIHEE RD, KANEOHE, HI 96744-4949
(808) 239-1531

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
HI

Other

Enumeration date
05/06/2008
Last updated
06/30/2015
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