Individual
MARCVON VINCE DAMASO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-440 KAHUALEI PL, WAIPAHU, HI 96797-3535
(808) 824-7381
Mailing address
94-440 KAHUALEI PL, WAIPAHU, HI 96797-3535
(808) 824-7381
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1220065
HI
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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